music therapy in an alcohol revovery program
DESCRIPTION
Music Therapy and applications in an alcohol recovery program. Completed during my music therapy internship.TRANSCRIPT
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{Special Project
Chelsea Brown
Music Therapy Intern
January, 2014
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{Transitions Program
Music Therapy Group
September 2013 – January 2014
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New admits & current residents
Purpose of Transitions
Homelessness
Hardship
Behavioral Issues or Mental Health
Alcohol or Drug Abuse
Overview of “Transitions Program”
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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
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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
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How alcoholism affects the brain
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Tastes good, genetic predisposition, social pressure
Escapism (escape the pain), appear different
“What point is sobriety if you still feel miserable?”
ESCAPISM
Why drink?
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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?
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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.
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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
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Assessment
Develop Goals
Treatment Plan
Therapeutic Music
Experience
Generalization of behaviors
Termination
Music Therapy Process
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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
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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
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Drum Circle
Lyric analysis
Song writing
TIMP (Therapeutic Instrumental Music Performance)
Drum circle
Meditation
Therapeutic Process
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Alcohol recovery is not a linear path
Varying census
Data
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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.
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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
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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
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{Questions?
Thank you!