Got Music?Cassie BrownPublic Health Education AssociateApril 29, 2016North Carolina Central UniversityDepartment of Public Health Education

Rhythm & Rehab, LLCMusic Therapy Services

▪ Rhythm & Rehab LLC provides Neurologic Music Therapy (NMT) group and individual therapy services as well as adapted piano lessons and Musical Theatre classes. Services are research-based and focused on exploring individual’s abilities, strengths and potentials while addressing motor, language, cognitive, sensory and social skills.

Rhythm & Rehab, LLC Organizational Chart Founder/ Executive Director

PAULA SCICLUNA

M.A., MT-BC, NMT-F

SANDY LEVY

M.S.Ed, S.A.S., Director of "Broadway Unlimited"

DR. DORITA BERGER

PhD, MT-BC, LCAT, Clinical Director

KAYLA PASSIONE, MT

Music Therapist Staff

DOREEN ROSS

B.C.A.

Shelley, Intern Cassie Brown, Intern

PRECEPTORS:

Mrs. Paula Scicluna is a board- certified therapist from South Dakota with 27 years of clinical experience working with children and Adults challenged with developmental, neurological and mental disorders. Also a classically-trained pianist who has a passion to serve the people in her community.

Dr. Dorita Berger, a former concert pianist, clinician with numerous internationally published books and articles including her most recent publication “Eurhythmics for Autism and other Neurophysiologic Diagnoses: A Sensorimotor Music-Based Treatment Approach” (2015). Dr. Berger has been providing clinical music-based treatment for several decades to populations of all ages and diagnoses.

Work Plan Objectives

By the end of the internship, the health education associate (HEA) will:

▪ Conduct a needs assessment on music therapy in Durham County▪ Interview and document four key informants (parents, agency staff,

classroom staff etc.)▪ Plan, implement, and evaluate music therapy group sessions targeting

children who have autism ▪ Develop early intervention activities - Complete the following activities:▪ Lead activity session weekly and document ▪ assist the music therapists at the various sites in (Durham, Orange, Wake

County)

Roles and Responsibilities Activities

Area 1: Assess Needs, Assets And Capacity For Health Education

-Conducted a needs assessment-Conducted a literature review on autism

Area 2: Plan Health Education -Planned individual and group (MT) session goals and objectives-Planned weekly sessions for special project activities

Area 3: Implement Health Education -Implemented activities/songs that will help improve sensorimotor skills

Area 4: Conduct Evaluation And Research -Analyzed the reports of weekly session changes (document of overall sessions in Microsoft Excel)

Area 5: Administer And Manage Health Education

Area 6: Serve As A Health Education Resource Person -Organize music instruments and prepared sheet music for the sessions

Area 7: Communicate And Advocate For Health And Health Education

-Interviewed Parents of clients who are using (M.T. services)

MAJOR ACCOMPLISHMENTS

● Facilitated Music Therapy group sessions● Developed a music therapy plan for individual sessions● Learned how to work patiently with those who have challenges in speaking● Learned sign language and play key notes on the piano● Balancing work schedule● Impact the clients through engagement ● Help my preceptor become more organized● Assist the Music Club Band on Friday evenings

DELIVERABLES

● Created workplan goals & objectives● Evaluation Report● Developed session music/instruments for activities● Developed ideas for “Tap Unlimited” Aphasia

Website/Social media● Developed interview questions for key informants● Created Special Project activities and resource guide

Expressing Myself Through SoundDeveloped for Early Childhood with ASD in Wake County March 17th & 24th, 2016April 7th,14th,21st, 2016

BACKGROUND▪ Autism affects 1 in 68 children in the U.S. (nationally), and 1 in 58 in North

Carolina (Local) which is the fastest growing developmental disorders and costs a family average of $60,000 annually. There is no known medical detection or cure for autism. (2016 Autism Speaks Inc.)

▪ Many children who are living with ASD (Autism Spectrum Disorder) need services and support as they grow into adolescence and adulthood. According to CDC, report on Autism the hispanic children are less likely to be identified with “ASD” than caucasian or African American children. (CDC,2016)

▪ The rising prevalence rate is reflected in the number of clinical visits and patients being seen. ASD is diagnosed when an individual has problems with social communication and repetitive behaviors. (CDC, 2016)

PURPOSE

▪ The purpose of this project is to address sensory integration at the Frankie Lemmon School & Developmental Center with children ages three to five with (ASD) autism to contribute to better quality of life.

OBJECTIVESBy the end of the project, 80% of the participants/ student group will demonstrate improved sensorimotor skills by:

▪ 70% of the participants will demonstrate tactile tolerance by holding the recorder bilaterally

▪ 65% of the participants will demonstrate oral tolerance being able to place recorder in mouth

▪ 50% of the participants will demonstrate breath control by producing a sound

▪ 40% of the participants will be able to sustain a note

OUTCOMES

Short Terms: (Learning)● Learning● Perceptions● Awareness● Skills

Medium Term: (Change in Behavior)● Task Organization● Train the ASD system● Organize breath control

Long Term: (Change in Health)● Reduction of stress● Stabilization● Coordination● Flexibility

Project Activities

▪ Conducted needs assessment▪ Developed special project▪ Plan & Implemented song activity for each group ▪ Evaluated the sessions ▪ Establish weekly notes▪ Future goal to share findings with other

agencies/organizations

METHODS

▪ Target population: Children ages (3-5) with autism at Frankie Lemmon School & Developmental Center

▪ Literature Review, conducted key informant interviews, and needs assessment▪ No Recruitment (chose population based on the music therapy settings)▪ Used Spreadsheet Microsoft excel to keep track of data weekly

Theoretical framework: Eurhythmics-based Sensorimotor Movement Intervention- Music Based Treatment

Sensorimotor- Music Based Treatment

EURHYTHMICS: GOAL

C.O.P.I.N.G.- CALM- ORGANIZED-PACED-INTEGRATED- GROWTH

-REDUCTION-STABILIZATION-AUDITORY

DEMOGRAPHICS

Total Participants: 29

Age Range: 3-5 years

(3) Student Groups:

3’s- 11

4’s- 8

5’s- 10

Ethnicity:

African American- 4

White, Hispanic/Latino, or Native American- 25

N=29

FINDINGS

Task Analysis

N=29

RESULTS

wk 1 wk 2 wk 3 wk 4 wk 5 Goal

Task 1: Holds recorder independently 71% 69% 92% 96% 100% - 80%

Task 2: Holds recorder bilaterally 50% 50% 85% 88% 88% - 70%

Task 3: Oral tolerance of recorder 71% 58% 89% 79% 81% - 65%

Task 4: Intentional production of sound 58% 50% 58% 42% 46% - 50%

Successful (those who were able to independently complete the task)

Unsuccessful (Did not complete the task/ prompted)

Absent: Not in attendance for the activity

Moving Forward - Health Goals

▪ Early Intervention will enable children with autism to reach their full potential

▪ Raise awareness in the community:1. Strengthen the wellbeing of individuals and families through education and support

groups (caregivers, parents, etc.)2. Partner with community resources to increase access to treatment services3. Increase frequency of doctor visits after birth to obtain proper screening and

evaluation 4. Advocate for licensure in NC for Music Therapy (Creating more jobs for music

therapy and those with developmental disabilities after age twenty one they will be able to work and have opportunities to stay involved)

5. Implement Music ToolKit (Resource guide, instrument, activities for home)

REFERENCES

▪ Division of Birth Defects, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention http://www.cdc.gov/ncbddd/index.html (CDC,2016). Retrieved. on April 14, 2016

▪ Lauzon, P. (2011). Anatomy of a Musical Being: A Music Systems Theory of Music Therapy. Voices: A World Forum For Music Therapy, 11(1). doi:10.15845/voices.v11i1.163. Retrieved. on April 18, 2016

▪ Berger, D.S. (2008) “Music Therapy, Sensory Integration and the Autistic Child”, United Kingdom. Jessica Kingsley Publishers

▪ Berger, D.S. (2016)., “Eurhythmics for autism and other nuerophysiologic diagnosis: a sensorimotor music-based treatment approach. London N1 9BE, UK, by Jessica Kingsley Publishers

▪ American Music Therapy Association, Inc.,(2008) Williams, B. Davis Gfeller, E. Kate, Thaut, H. Michael “An Introduction to Music Therapy Theory and Practice, 3rd Edition.

CAMELLIA GARDENS TAP UNLIMITED/ Aphasia Group

FRANKIE LEMMON

SHELLEY’s HARP / MT Intern Rhythm & Rehab, HANDBELLS WAKEMED Visit Stroke Patients

ACKNOWLEDGEMENTS

Dr. Dorita S. Berger (Preceptor)

Mrs. Paula Scicluna (Preceptor)

RHYTHM & REHAB STAFF (Clients, Parents, caregivers, Teachers)

Frankie Lemmons (all sites)

NCCU PUBLIC HEALTH DEPARTMENT FACULTY

FAMILY/FRIENDS

2016 COHORT