PASSION – My passion to serve – part 5 of 5

In the first 3 posts for this series I talked about the importance of passion, for music, for music therapy and for the profession. In the last post, I talked about my love for singing and stated that my father wanted me to do something “more substantial” with my life.

After my dad’s untimely death, during my first year at community college, I quit school and got a job as a waitress and sang in a rock band. I loved singing in the band, but we were never very good or very successful and after a while we just gave up and got “real” jobs. My mother continued to encourage me, sometimes very loudly, to get a college degree and make a path for myself, so I took business classes part time while still working full time until my older daughter was born. Then after many complications of pregnancy followed by post-partum depression I started seeing a very wise counselor. He helped me to examine the things that I was doing in my life and how they were affecting my future. I went back to school full time as a business major but I was still miserable because life without music looked pretty empty.

Debi-1There was a music history class for non-music majors and I took it for fun one semester, and after class one day, I was talking to the professor and she asked me why I wasn’t a music major. I told her that I didn’t think I was good enough, that I really wasn’t an opera singer and had a lot of excuses. She encouraged me to check out the music education program and I promised that I would think about it. So that afternoon I went to the main office of the music building at ASU and asked for the checklist of requirements for the music education degree program. The clerk was very helpful, but gave me the wrong list, the one she gave me was for music therapy, and she apologized, gave me the music education one and wanted to take the music therapy checklist back, but I kept it. Years before, I had seen a music therapy session in a group home for developmentally delayed adults but never really gave it a second thought until that moment.

During my early teen years I had done a lot of volunteer events for people with special needs and I had worked as a Candy Striper in a nursing home. So when I compared the two programs, I decided that music therapy just might be what I was looking for. My passing the audition was another miracle and within two weeks of changing my major I knew I had found the right path for me.

I feel very fortunate that Arizona State University has an excellent music therapy program and I found it quite by accident, which is why I believe that passion is so important, because I was a “rock star wannabe” with very little formal musical education and had to learn most of my musicianship in a very short amount of time, and while raising my young children. Without passion, I wouldn’t have stuck with it and become the music therapist that I am.

In the 17 years since earning my MT-BC, my passion for serving others through this extremely powerful medium of music therapy has continued to grow. I have had the pleasure and privilege of serving a wide variety of people and I have witnessed children singing for the first time and elders with dementia that can’t remember their own name but can remember entire songs.

The biggest blessing of being a music therapist was after my mother had a series of severe strokes. She was in the hospital for 4 months and the doctors told me she would never walk or talk again. After her hospital stay, I brought her to live with me for 6 weeks. I knew her musical preferences and her love of dance and used this to help in therapy each and every day. She was able to walk and talk again although never to her previous level. But I was blessed to have five more years with her. After she passed away, I used music therapy to help me with the loss by returning to ASU for my Master’s degree in music therapy.

In my first post of this series, I posed the question “What makes some music therapists successful while others are struggling to get enough income to live on?” In order to be a successful music therapist, you must have passion for music, and passion for music therapy. You have to be so determined to stay on the path and that you don’t give up, regardless of the road blocks put in your way. I came upon this profession quite by accident, but I am thankful for each and every opportunity I have to help enrich other’s lives through the powerful medium of music therapy.

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Reflections on the “Alive Inside” Movie

The Alive Inside movie by Michael Rosatto-Bennett chronicles the journey of a social worker, Dan Cohen, as he developed and implemented an iPod project where he distributed iPods to patients with dementia. The movie gained attention when a clip featuring a patient named Henry was released on youtube last year and went viral in a couple of days. It also won the audience award at the Sundance Film Festival in 2014.

The movie clearly illustrates the importance of the connection between music and quality of life. It also discusses the issues of aging that are facing our society in the coming years. The baby boomer is the largest generation in America and they are aging. So of course when the movie was released in AZ, I had to gather a couple of friends and we went to see this. I will admit that my attitude was fairly negative. I don’t want anyone to think that all we need to do is give dementia patients an iPod and their problems would be solved and I thought that would be the point of the movie. Thankfully I was wrong.

This project focused on handing out iPods and it was clear that Dan Cohen spent a lot of time personalizing song lists for each participant, so clearly there will have to be someone to help manage the iPods and the music for each patient. There was a short segment with a live musician and you could see the importance of the human interaction. That is the part of the puzzle that music therapy fits into. We not only establish a therapeutic relationship with our clients but we also get them actively involved in making the music, and that interaction excites the brain synapses and allows for a higher level of involvement than a person listening to music through headphones can reach. Music can and does elicit deep emotional responses in many people and music therapists are trained to help the patients deal with these responses. An article by music therapist Kimberly Sena Moore, discusses the problems that music can create and the way that music therapists are trained to address them. Become actively involved in the music making!

Alive inside did illustrate the tip of the iceberg when it comes to the amazing power of music with dementia patients. It emphasized the importance of addressing the upcoming needs of the
baby-boomer population, the overuse of pharmaceutical interventions and the huge importance of music as a treatment option for dementia. I highly recommend this movie and more importantly, I recommend that everyone become involved in making music in some way every day.

Have you seen the movie yet? Let me know your opinion in the comments below.



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This Summer I Took My Clients On A World Wide Vacation

So I didn’t hire a car, plane, boat or train to transport us to far off places but we did pretendBecome actively involved in the music making!

The topic of summer vacation is pretty universal, most of us have schedule changes to accommodate for vacations and the ending of one school year and the start of another.

I like to start my groups with some sort of movement and Independence Day is the perfect reason to use patriotic songs as we wave flags and march to the beat. I then hand out instruments and we sing and play American folk songs. This is all very fun and the outcomes are fairly predictable and I use the same format with all of the groups (ages 3 years up to 94 years). But then, after we have gotten all of our neurons firing and our bodies are releasing all of the “feel good” hormones it is time to start our cognitive exercises.

As a college student I watched many videos of music therapy in action. It was the “Nordoff-Robbins” method that stuck me with the realization that when improvisation is done correctly, everyone can have a voice. So I incorporate improvisation into my sessions whenever possible. One of my favorite interventions is to use the blues song “Kansas City” written by Jerry Leiber and Mike Stoller and take my clients “on vacation”. (enjoy the video below by Muddy Waters) The way I do this is to sing the original (slightly edited) first verse and then I go around the room and ask each individual the question “If you could go anywhere for your vacation, where would you go?”  When I ask kids I get answers like “Disneyland, Sea World and camping”. We then put the answer into the song.  But now that I work with adults in memory care and skilled nursing the answers are much broader and have led to some great discussions about their travels and experiences. Millie is a resident on a memory care unit and usually unable to tell me her name. But this past week, when I asked Millie where she would like to go, she got the most beautiful expression on her face and said “Jerusalem”. It is those in the moment experiences that illustrate the power of music.

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Physiological and Neurological Changes: the Most Important Reason for Weekly Music Therapy Sessions

neurology, autism, brain injury, Alzheimer's

Being involved in music making excites more of the brain than any other activity. Photo courtesy of NIH

The research is published and the word is out. Participation in music making interventions improves physiological functions such as regulation of heart rate and respiration and the release of endorphins into the system. We also know that participation in the music making process supports neurological functioning throughout the brain. Music therapists have specialized training in getting people involved in the music making, we are trained to work with a wide variety of special needs individuals and groups and can meet individual goals and objectives for each person in a group setting so that the progress for each person is maximized.

Researchers in Japan published a 2 year study of the effects of music therapy on elderly patients with moderate to severe dementia. They measured blood pressure rates of patients receiving music therapy services and compared them to a control group and determined that both those patients with low blood pressure and those patients with high blood pressure reached normal levels over time while the control group  blood pressure levels were not affected (Takahashi, Matsushita Music Ther (2006) 43 (4): 317-333 doi:10.1093/jmt/43.4.317)

Another study published on ScienceDaily reports that brain imaging shows that people with musical training have enhanced executive brain functions. “Executive functions are the high-level cognitive processes that enable people to quickly process and retain information, regulate their behaviors, make good choices, solve problems, plan and adjust to changing mental demands.”

In addition, The National Autism Center (NAC, 2009) recognized music therapy as an “emerging practice” classification, meaning that current research is showing significant improvements for individuals with Autism Spectrum Disorder (ASD).

Music therapy is a research and evidenced base profession and Board-Certified Music Therapists (MT-BC) are held to high standards of practice so that our clients reach maximum potential. In order to truly provide the best possible outcomes for patients/clients/students we need to have the time to work with them, access to records and time to provide appropriate documentation for their files.  Music therapy has benefits in so many different settings with so many different people.  Sign up for your weekly sessions with Mind-Full Music Therapy Services, available throughout the Phoenix, AZ area!

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Consistency: The Second Reason Weekly Music Therapy Sessions Are Important

In my last post, I stated that having weekly music therapy sessions supports social skill development and retention (read that post here).

Group drumming supports neurological and physiological growthThe second reason that I feel weekly music therapy sessions are important is Consistency. Having sessions every week allows participants to understand the routine, they enjoy attending and look forward to the groups. Consider the case of Alan, a 15 year old boy diagnosed with Autism Spectrum Disorder. Most days Alan doesn’t like to get up and get ready for school in the morning, but on Wednesday, he knows the music therapist is coming and his mom reports that this is the only day of the week that he gets ready for school independently.  Andrew is a 17 year old student that participates in music therapy at his after-school program. His mother shared that every Tuesday morning he reminds her that he has music therapy and doesn’t want her to pick him up early. Then there is my friend Walter, who awaits my arrival in the day room of his Skilled Nursing Facility every Monday so he can request his favorite songs.  Music therapy is important to the participants and having a consistent schedule builds confidence and trust and gives them a way to be proactive about their healthy lifestyle habits.

In addition to motivation there is another benefit of consistent weekly music therapy sessions. Every session that I do is structured to meet goals and objectives of each individual, even in the group setting. Within the structure are rules of behavior, such as how to hold an instrument and play it appropriately, how to answer questions and interact with the therapist and other participants. When I ask children to do something, I am communicating using words and music, and I am also communicating visually by using gestures, sign language, pictures calendarand facial expressions which improve comprehension. The participants remember the structure more easily and those social skills transfer to other areas of daily life when the sessions are held weekly.

In the next post I will address what I believe may be the strongest reason to provide music therapy sessions at least once per week and that is the physiological and neurological changes that happen in the body when participating in music therapy.

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Social Skill Development and Retention: The First Reason Weekly Music Therapy Sessions are Important

A recent survey of music therapists reported that the majority of therapists see clients in weekly 50min sessions, some in groups and some individual sessions, in order to maximize treatment goals and objectives (Kern, P, et al., Journal of Music Therapy, 50(4), 2013, 274–303). The survey didn’t include why music therapists chose to treat clients weekly as opposed to once or twice per month. But I can tell you three reasons why I believe weekly sessions are important. They are; Social skill development and retention, consistency, and physiological and neurological changes.

calendarThe first issue to examine is Social Skills Development and Retention – One of the primary ways that music therapists get people to interact with the music is to create a trusting environment. This is important whether or not your client is a young child with developmental delays or and older adult recovering from stroke or anything in between. And this is also necessary whether it is an individual or a group setting. As a therapist I provide opportunities for clients to get involved in the music making. I am inviting them to play an instrument they may have never played before, and to sing and move in ways that may not be easy. In order for me to engage them, I need to provide a safe, friendly and motivating opportunity for that person to succeed. In order to build the level of trust, sessions must happen often enough that the client can remember the therapist, or at least the comfortable environment created by the therapist. When working with dementia patients this becomes a crucial element to support their functioning level, skill retention, and provide more opportunities for interaction. The patients in my memory care groups don’t remember my name, or what I do, but they do remember that they like me.Become actively involved in the music making!

Group sessions support social skill development and participants engage with other group members in meaningful and appropriate ways during the music making process. Each individual is encouraged to make choices such as what instrument to play or what song to sing. They are encouraged to participate in discussions and to work cooperatively in the music making. The more these skills are practiced the better the carry over into other areas of daily life.  ScienceDaily cited research from the Pertanika Journal that stated that weekly music therapy sessions can have a positive effect on behavior in children with autism.

In the next post I will explain the importance of consistency of weekly sessions.


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Music Therapy Saves Money On Health Care Costs

So you just read the headline and clicked on this blog post, all the while you may be thinking to yourself, “Oh come on, how can a service that I have to pay for out of my already stretched thin budget really save my facility money?”

First of all let me say that YES, You will have to pay for music therapy services, BUT keep on reading and I will elaborate on how it will save you money.

Evidence-Based Research with Proven Results –Music therapy is a scientifically based practice. Music therapist’s set goals for each individual or group and we document progress toward those goals. We conduct research and publish the results in our professional journals and those of related disciplines.So if you are the director of a nursing home or rehabilitation facility, these are outcomes that are experienced by a large majority of clients – even those individuals that don’t respond well to other types of interventions.

Decreases anxiety and stress¯¯ Reduces anxiety and stress – Music therapists address these goals in the group setting by using calming music and teaching clients breathing and imagery techniques that they can use outside of the music therapy session.Dancing encourages physical movement and releases endorphins while at the same time reducing cortisol levels and is a positive wellness technique.

¯¯ Improves mood and emotional states – Patients are encouraged to express their emotions through music in the group or individual session. We use techniques such as lyric analysis, group songwriting and improvisation to help the client identify their feeling and the reasons behind them and then provide opportunities to express those feelings through the music.

¯¯ Increases patient participation in treatment Music is fun and motivating but many individuals may feel self-conscious about participating. Music therapists have specific training to help patients to feel comfortable and to participate at whatever level they are able. By explaining to patients what we are doing and why it is important, we enable the patient to then have some ownership over their treatment program, which carries over to other treatment modalities.

¯¯ Reduces need for pain medication –The American Psychological Association published a summary of research about music therapy and stated that the researchers found that patients that engaged in music therapy had increased levels of the antibody Immunoglobulin A, which is known to kill cancer cells. They also found reduced levels of cortisol, the stress hormone and increased endorphin levels. Other studies cited that music therapy helped regulate breathing and heart rate for patients from infants in the NICU to adults and elderly in intensive care, cancer treatments and rehabilitation. Patients reported less pain and also had reduced need for pain medication. Read the full article here .

¯Reduces length of Stay-The National Institute of Health (NIH) published a study in 2011 that determined that patients who participated in music therapy had less depression and shorter

Music Therapy is an excellent marketing tool.

Music Therapy is an excellent marketing tool.

lengths of stay than patients that did not receive this service. Read that article here. In addition, a review of music therapy in the Southern Medical Journal was published in 2012 which stated that Patients in intensive care were less anxious before surgical procedures and recovered more quickly and satisfactorily after surgery. They also required less sedation and reported better satisfaction with their hospitalization click here to read that article.

¯Music Therapy as a Marketing Tool-Music therapy has been receiving a lot of media attention and patients are more aware of the benefits of music therapy as they are shopping for services. In 2002 Demmer and Sauer published documentation that supported the fact that patients had higher satisfaction levels for facilities that offered music therapy services. Read an excerpt of “Survey of Nurses’ Attitudes and Perceptions Toward Music Therapy in the Hospital Setting” By Miriam G. Hillmer, 2003

2013 logo (219x106)Call Alison Bowers, MM, MT-BC, at 480-296-9842 to schedule your consultation today!

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Rhythmic Entrainment in Music Therapy to Assist With Social Awareness part 4 of 4

Meghan is a 12 year old girl with Autism Spectrum Disorder (ASD), She has words, but uses them to repeat lines from TV or movies, she plays with her stuffed animals and often times appears to be unaware of the world around her. Meghan didn’t participate in the music therapy groups when they first started in her facility. I would always greet her and ask her to join us but the teacher told me that she doesn’t participate in any group activities and it was one of her goals.

Group drumming supports neurological and physiological growthIn March I wrote a blog series called “Sensory Integration, Not Just for Autism Spectrum Disorders” in which I discussed the importance of using a multi-sensory approach in the music therapy group so that individual goals can be achieved in the group setting. This month I have written about the importance of “Rhythmic Entrainment, What is it and Why is it Important in Music Therapy?” “Rhythmic Entrainment for Motor Planning“,  and “Rhythmic Entrainment in Music Therapy to Assist in Language Development”. I discussed that I focus on the rhythmic aspects of the music to support neurological and physiological growth. These were the techniques I was using in Meghan’s class.

As the weeks went on, Meghan began to move closer to the group but still held onto her dolls and seemed to be unaware of her surroundings. I continued to observe her while leading the group and interacting with the other kids and I noticed that after about several weeks her dolls started dancing to the music and then each week, I noticed more and more involvement. One day, a staff member brought 2 chairs up and sat them behind the circle, she sat in one and had Meghan and her dolls sit in the other. At first she could only stay for the “Hello” song, but then she would leave the group and come back multiple times, participating in background but not as a part of the group. Finally Meghan began to feel more comfortable and stayed in the group longer and we began to move her closer to the group as well. She didn’t show interest in the books, visuals or movement activities, but she was interested in the instruments and would repeat the names, and began to request them but didn’t actually play them herself.  So the assistant would sit next to her and play the instruments and sing to model appropriate behavior. The assistant began to fade her assistance and Meghan stayed in the group with the instrument beside her and would sing to her dolls.  One day I looked over and Meghan was playing the guiro, she was holding correctly and playing it rhythmically with the group.  This story isn’t over as I still work with Meghan and have for the past two years. But now she is able to sit for most of the session, she still has her stuffed dolls and they play instruments with her. She is able to trade and share instruments with other kids in the group and she will even request songs if asked.

I have mentioned the multi-sensory approach that I use in my music therapy groups in many of my blogs. I provide a wide variety of sensory interventions using visuals, tactile objects (instruments) and movement so that each child can receive a variety of sensory input. In Meghan’s case it was the instrument playing that was the motivator for her, and when she did start to play, she was able to play rhythmically with the group. This was a signal to me that even though Meghan appeared disconnected and unaware at the beginning, she was still receiving the input on a neurological basis.

An adult may seem lost in their own world, but when I hand them an instrument and start singing a familiar song, they are able to come out for a while and be in the moment with the group.

An adult may seem lost in their own world, but when I hand them an instrument and start singing a familiar song, they are able to come out for a while and be in the moment with the group.

I have also seen this same phenomenon on the Memory Care units that I serve. An adult may seem lost in their own world, but when I hand them an instrument and start singing a familiar song, they are able to come out for a while and be in the moment with the group. Marilyn is one such client. She is very musical and hums to herself all day. During the sing-along activities she is able to sing most of the songs and can play the instruments appropriately. Marilyn is in the late stages of Alzheimer’s disease and she cannot answer simple questions most of the time. In February, we were singing love songs for Valentine’s Day (of course) and Marilyn had been happily singing and playing so I looked at her and asked her what she did for Valentine’s Day as a child. She looked me in the eye and said “We made valentines out of paper and glue and lace doilies.” It was so great to be in that moment with her. Sadly, Marilyn hasn’t been able to respond appropriately since then, but she is still singing and playing instruments and I know that the music is working in her brain and in her body.

Music Therapists are not the only ones looking at the phenomenon of rhythmic entrainment in the brain. Scientists have found that rhythm and speech are so tied together that they have identified similar behavior in animals that have some speech capabilities such as parrots and dolphins. Check out the links below and come back to for my next blog. Until then, embrace your musical mind.

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What is Rhythmic Entrainment? and Why is it Important in Music Therapy? Part 1 of 4

What is Rhythmic Entrainment? and Why is it Important in Music Therapy? This is the first of a four part series about rhythmic entrainment in music therapy.

I have been a music therapist for nearly 20 years and I have seen a lot and learned a lot. I have seen children and adults that appear to be unaware or disconnected from the world around them start to connect to music and through the music be able to connect with the world around them.

It was a typical physical therapy session; the PT was supporting the elderly stroke rehab patient and trying to explain to her that he wanted her to shift her weight by crossing one leg over the other. The move he wanted from her is a common dance step called the grapevine and is used in a lot of traditional country dances. I was observing the session and I could see that no matter how many times he demonstrated or explained, she couldn’t understand what he wanted her to do. I had already been working with the patient and it was the PT’s first time with her so I knew her background and I asked him if I could help and when he agreed, I started slowly  singing “Hava Nagila” a traditional Israeli song that is used to dance the “Hora.” It was as if a light bulb had gone off in her brain, she was able to move, with assistance and over time was able to walk and move independently. This is an example of rhythmic entrainment. Through the music she was able to make connections in her brain which then helped her ability to walk, to talk and to think more clearly.

We are surrounded by rhythm, from the movement of the earth through space, to the clicking of the clock there is rhythm. As humans, we are rhythmic beings and this is the area that I want to focus on in this post.  I use rhythmic entrainment techniques as an important part of the multi-sensory approach that I discussed in the last blog series (read Sensory Integration, Not Just for Autism Spectrum Disorders).

Rhythmic Entrainment in music therapy is a specialized practice used to assist in helping people become more “in tune” to their own rhythm and the rhythms of the world around them. keeping the beat

Entrainment is a physics term that is used to explain that two objects moving together use less energy than two objects moving in opposite directions, so even when they are moving differently, if they are placed next to each other will, over time, begin to move together in synchronicity.  This is often seen in a drum circle, when one person starts the rhythm and the others are able to match the pattern and either duplicate it or augment it. Music therapists often work with individuals that are “out of sync” with the rest of the world, this may be due to a genetic condition such as developmental delays, cerebral palsy and autism, or traumatic brain injury, stroke, Alzheimer’s and Parkinson’s disease. In these circumstances music therapists take this physics phenomenon and use it as an intervention to help people become more aware of their personal rhythms and those of the world around them.

The lub dub of a heart beat is the primary rhythm in our bodies and it controls the circulatory system which runs throughout the body and oxygenates the blood. The oxygenated blood travels to the brain which controls the central nervous system and tells the body how and when to move. When we are excited or nervous our respiration and circulation rate increase and when we are quiet or sleeping they slow down. This is an automatic response of our bodies.

Most of us are born with the ability to sense rhythm and even move our bodies to match that rhythm. For example when I want to exercise I listen to fast music and when I want to relax, I listen to slow music. My brain hears the different tempos and my heart rate begins to match those tempos.

Rhythmic Entrainment for all agesFor individuals with sensory processing differences, rhythmic entrainment in music therapy can help organize thought patterns, speech development, and motor planning issues. Many of these people appear to be withdrawn or self-absorbed, but, through rhythmic entrainment techniques we can help them to connect to their own body rhythms and gives them a non-verbal way to connect with other group members.

People with Cerebral Palsy may be very rigid and not be able to move their bodies to the rhythm due to physical limitations, but they still benefit from rhythmic entrainment techniques because their bodies are still functioning rhythmically at the circulatory and cellular level.  Studies in Neurologic Music Therapy have shown that the brain can still perceive rhythmic stimulus even below the threshold of consciousness.

Click here to continue to the next post.


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SENSORY INTEGRATION – Not Just for Autism Spectrum Disorders – Part 4 of a 4 part series

Part 4 – Sensory Integration Interventions for Adults in Music Therapy

This is the final blog in a 4 part series about Sensory Integration. Three weeks ago, I defined sensory integration dysfunction as a neurological processing disorder that results in a disconnect in the internal sensory system(click here to read). The second post was about how sensory integration dysfunctions may present in children (click here to read). Last week I discussed a variety of methods to address sensory issues with children in music therapy groups (click here to read).

I have often said that I love being a music therapist. Being able to work with a variety of people in a variety of stages of life makes each and every day different. And being able to share in the joy of making music is truly a blessing.

While each individual is different, and how they need and respond to sensory input is also different, it is possible to address a wide variety of sensory goals in the music therapy group. There are a lot of similarities in the adults with sensory integration dysfunction as with children. Older adults with Alzheimer’s type Dementia exhibit many of the same types of sensory dysfunction behaviors as children. In addition to neurological processing disorders due to aging and dementia, many of these individuals have health issues such as decreased circulation which affects how they are able to move. On the memory units, I see many individuals that make repetitive hand motions such as stirring or tapping. Many of these people are at the end of life and have already lost much of their sensory functions. So it is important to provide as much sensory input as possible while at the same time being aware of limitations due to medical conditions.

I include a few minutes of movement in each group. I make eye contact and may hold hands with a resident and sway their arms in a wheelchair dance. Those that have the ability to move their legs and feet are encouraged to tap and kick and march in place.  I may give them scarves or ribbon streamers of varying colors and textures to move to the music. These can even be scented to add another level of sensory input. Parachutes, stretchy bands, balloons and beach balls are a great way to attract attention and get people to move to the music. Deep pressure stimulation isn’t appropriate with adults for a variety of reasons, but I have found that they need physical contact. As I pass out instruments or whatever manipulatives we are using, I gently place the object in the hand and help them grasp it. I also sing a closing song and go around the group and give a gentle handshake.

Auditory processing issues are different for adults in later stages of life because many of them have lost their hearing. They may not display auditory sensitivity issues like children, but they may not be able to understand what is being said, not only due to hearing impairment, but may have trouble comprehending what they are hearing. These same people, however, can sing entire songs with the correct words in music therapy, because the music centers in the brain trigger the long term memory.

I also do instrument playing and sing-along in every group. I use the cabassa for adults much the way I do for children (click here to read). This instrument is heavy so I give it to a couple of people that make repetitive stirring motions. For those that have the use of both hands I give guiros or claves. During the sing along, I try to have my music memorized so that I can move around the circle and make eye contact to help remind them to sing and play.

Sensory processing issues are seen in individuals of all ages and can be addressed appropriately in individual music therapy sessions or in the group setting.

What are your favorite techniques to address sensory processing issues for adults?

Please leave your comments and questions below.

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