"There's So Much to Be Thankful For"

Last fall, inspired by a Michigan Music Therapists workshop presentation from music therapists Angie Snell and Laurel Rosen-Weatherford, I taught my adolescent and young adult special education students signs to accompany Josh Groban's Thankful (on the Noel album).  The students performed the piece at our annual holiday program in December and left very few dry eyes among the staff and parents in attendance.  For confidentiality reasons, I am not able to post the video of their performance, but I am able to share this video I recorded of myself during class; their classroom teachers used this video to help the students practice outside of our weekly session.  

I wish you all a safe and Happy Thanksgiving; you are all among the many blessings for which I am thankful. 





Reflections on the ABC News Gabby Giffords Special



Congresswoman Gabby Giffords received a standing ovation at her first appearance in the House of Representatives since her attempted assassination (Aug 1, 2011).

There is already quite a buzz throughout my social media streams regarding last night's Gabby Giffords special on ABC News.  I'd like to share my reflections on last night's special and why this news is so important for the music therapy discipline.

As most of you are aware, Gabrielle Giffords, a Congresswoman from Arizona, was shot in the head during an assassination attempt last January.  The bullet went through the left hemisphere of her brain, which is the side that controls our language processes and the motor functions for the right side of the body.  Gabby Giffords went through extensive rehabilitative treatment at TIRR Memorial Hermann in Houston, TX.  As part of her treatment, she received and responded well to music therapy.  Due to her stature, her treatment has been followed closely by the media, including a feature by CNN's Dr. Sanjay Gupta, who spent time experiencing the various treatment disciplines.  Of his interactions with TIRR music therapist, Maegan Morrow, he noted, "I realized through music, she was working on developing my attention, memory and overall executive function."  Yes!  Exactly!

Having already had such wonderful media attention for Giffords' music therapy treatment, I was anxious to see what information the ABC News special would provide.  I am incredibly thankful to Gabby Giffords and her husband, Mark Kelly, for allowing ABC News to air their home video footage of her treatment.  They not only provided insight into the rehabilitation necessary following a traumatic brain injury (TBI), but they also showed the human element of the story, as you can see her frustrations with not being able to say what she knows and also her joy and determination for triumph.  It is also easy to see the incredible love and connection between Giffords & Kelly. 

I was a bit disappointed that, during the 20/20 special, there was not a more in-depth explanation of music therapy and its use for treatment of TBIs.  During the special, they aired footage of music therapist, Maegan Morrow, working with Giffords, but they referred to her as a "therapist with the guitar" rather than explaining her credentials.  I was happy to discover that the follow-up Nightline did provide more information about the science of music therapy, including commentary by legendary neurologist Dr. Oliver Sacks.  That footage can be seen in the clip Giffords Rebuilds Speech with Song.  I love Maegan Morrow's explanation of how music accesses multiple areas of the brain and music can be used like a highway "exit" to go around the blockage and get to where you need to go.  Another clip, including some unaired footage, can be seen online at Gabby Giffords: Finding Words Through Song. 

One noteworthy feature to point out about many of these clips is that you can see Giffords struggling for one, two-word responses, yet she is able to sing entire phrases.  This is a common occurence for individuals with aphasia; the musical context finds the pathways that the words alone can not.  Music can be used to teach the brain to use those alternate pathways to rebuild communication.

Gabby Giffords was only one of the victims of a horrible tragedy.  Though we would all rather this had not happened, I am pleased that the media is using this opportunity to focus and educate regarding TBI and the extensive and ongoing rehabilitation needed to survive and overcome these injuries.  I wish Gabby Giffords and many others struggling with a TBI continued success in their therapies and recovery.  I am also THRILLED to be a music therapist, using music to help others heal and develop each and every day.

Did you catch the special?  What were your thoughts?

Keeping My Credentials

This weekend I tackled a very important item on my to-do list: I submitted my very first Application for Recertification to the Certification Board for Music Therapists.  Alas, it is not "once a music therapist, always a music therapist."  Rather, various obligations need to be fulfilled in order to maintain status as a board-certified music therapist. 

There are three main steps to initially becoming a board-certified music therapist: 1) complete an approved music therapy training program; 2) complete a six-month music therapy internship; and 3) successfully pass the music therapy certification exam.  An individual may then use the credential: MT-BC, meaning Music Therapist Board Certified. 

The music therapy certification cycle is five years.  At the end of each cycle, the music therapist must either take a recertification exam or provide documentation that he/she has completed at least 100 hours worth of continuing education credits within the five-year cycle.  I opted for continuing education credits, including graduate coursework, attendance at national and regional music therapy conferences, and other Continuing Music Therapy Education (CMTE) credits from workshops.

It's hard to believe I have been a certified music therapist for five years already.  Next up: renewing my teaching certificate!

Grieving with Autism

Today I learned that the father of a very special student passed away over the weekend.  This young man is incredibly intelligent and witty, but is limited in his ability to communicate due to autism.  He is very musical and, over the years I have worked with him, we have shared some very special moments.  I worked with this student today and I am convinced I saw the grief in his eyes.  We were in a group setting, so I chose to not openly address my observations, but I do believe that music therapy may play an important role in acknowledging and processing his loss.

This is a situation in which I do not have much experience.  Therefore, I ask you - my fellow music therapists, parents, and treatment team members - what methods have you found to be successful in helping an individual with autism to express, understand, and/or process grief?

I've Got the Gas-is-Ridiculously-Expensive Blues

 Since the assassination of Osama Bin Laden on May 2nd, our gas prices in mid-Michigan have steadily - and very thankfully - declined from their peak at $4.17 at the end of April.  Today, that trend was very drastically reversed, as we jumped from around $3.63-$3.70 per gallon to $4.19. Yes, gas jumped 50 cents in one day for no apparent reason.  What other industry can raise it's price 13.5% in one day without warning?  I know if service providers tried that they would not be in business for very long!



I snapped this picture back in April when I
thought/hoped prices had reached their peak.



When gas prices first hit $4.17 back in April, I used Twitter to ask other traveling music therapy colleagues how their businesses were coping with the high gas prices.  All the responses I received involved having to elicit a rate increase for out-of-town travel.  Alas, I too recently made the decision to adjust my mileage fees for this next contract cycle.

Another option I've been reflecting on a lot lately was inspired by a blog post by music therapist Kat Fulton called Using Skype for Music Therapy and Drum Circles: Is This The Future? Telecommuting is quickly becoming a norm in our society.  Could we, should we, provide therapy via Skype or another method of telecommunication?  On the plus side, this would help with travel concerns and help therapists access clients at a distance, but - on the down side - how would this alter interactions, the development of therapeutic relationships, and maintaining confidentiality?

Do you have other suggestions or methods for combating the rising costs of travel?  What are your thoughts on using telecommunication for therapy?  

Follow-up to "The Magical 'Moving Guitar'"



Today, for the first time, that same student stood independently from his/her chair in order to get to the tone chimes.  The teacher and I both did instant happy dances! 

Music therapy: using music as the means to accomplish non-musical goals. 

THIS is why I'm a music therapist.  Even though I don't have children of my own, I know the thrill and excitement of achieving 'firsts'.  Those 'firsts' seem even more exciting when they're delayed.  Or when an individual achieves something the "experts" said they never would.  Everyday I get to witness children, adolescents, and young adults exceeding expectations.  I feel so incredibly blessed to be able to use my musical gifts to elicit positive changes for others and to have the priviledge to work with such amazing people - students, staff, parents, administrators - everyday.  Thank you all for allowing me the honor to provide Creative Opportunities to Develop so many extraordinary Abilities!  

The Magical "Moving Guitar"

The magic of the "Moving Guitar" revealed itself yet again this week: I had another kiddo start walking during music therapy.

What is the "Moving Guitar?"  The "Moving Guitar" is a trick I discovered a few years back.  At the end of class, students have a turn to strum my guitar using the giant pick during the goodbye song.  I have many students that are very motivated by and look forward to playing the guitar.  I've found that if I hand the student the pick and then slowly back up on my rolling stool so that I am just out of reach, they will take a step or two to reach me and the guitar.  I utilize this technique when students are really close to walking independently, but just need that extra motivation to let go.

After months of coaxing a "step or two", on Tuesday those couple steps became eight.  And then another fourteen.  And then my student spent a good portion of the rest of the afternoon independently walking up and down the school hallway.  And me?  I've been on Cloud 9 ever since!