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Music Therapy & TelemedicineAndy Tubman, MT-BC
3rd Annual Georgia Partnership for Telehealth
March 15th, 2012
Co-Founder, Musical Health TechnologiesFounder, Integrative Music Therapy Services
Agenda
Text 1.Hello
2.Affiliations
3.Defining Music Therapy
4.My Approach Including Case
Studies
5.How Music Therapy Tools Can Be
Used at a Distance Including
Demos
6.Questions & Answers
7.Resources
Affiliations
Andy Tubman, MT, BC
Board Certified Music Therapist - Received music therapy degree from Temple University and board certification from the CBMT to practice nationally.
Integrative Music Therapy Services
Founder - Provides private and group Music therapy services throughout Southern California. and consulting services internationally.
Co-Founder - Technology to enable successful musical experiences.
Definition
TextMusic Therapy Is:
The prescribed clinical use of music as a
therapeutic intervention in order to stimulate
positive changes in four areas of human
functioning; cognitive, physical, psychological
and social.
Music Therapy
• Profession grew out of VA
• Now a unique clinical
discipline
• Success with difficult to treat
conditions: TBI, Autism,
Dementia
Explosion of Music Health Research
Media Attention Grows
Text
Client Lead - Music TherapyProviding an appropriate setting for a client to follow their interests through Creating Stations featuring a variety of artistic mediums. These activities are structured musically by the therapist often resulting in a full brain workout.
INFLUE
Integrative Music Therapy Approach
Ken Bruscia
The IMTS Approach in Action
and How Music Therapy Tools Can Be Used at a
Distance
Realistic Victories for the Profoundly Differently Abled
Case Studies with Matthew and David
Text
Diagnosis: Cerebral palsy and Autism Spectrum Disorder.
“Matthew”
Look For:
•Non verbal though increasing vocalizations.
•Shaking hands for first time ever.
•Increasing engagement.
What Your Saw
•Non verbal though increasing vocalizations
•Shaking hands for first time.
•Increasing engagement.
What’s Happening
•Vocalization validated.
•ISO Principle used to deepen engagement.
•Vocally matching tonality
Realistic Victory
•Matthew shakes hands!
•Increasing communication skills
•Brighter affect
Case Study: “Matthew”
David’s Court Victory Restoring Funding for Music Therapy“Shaun Hussain, M.D., a pediatric neurologist treating claimant...music therapy “has become a critical means to alleviate the otherwise devastating cognitive and psychosocial impact of Lennox-Gastaut Syndrome [claimant’s specific epilepsy syndrome].”
Although he exhibits severe neurocognitive disability, [claimant] seems to demonstrate improved social, emotional and even cognitive functioning during therapy sessions. This has not been accomplished in any other academic setting nor has it been achieved previously with the aid of other behavioral and pharmacological therapies.
Pornchai Tirakitsoontorn, M. D., a pediatric pulmonologist treating claimant wrote....music therapy ‘has been helping [him] . . . to increase his breath control, increase his oxygenation, decrease his seizure recovery time, and to help stabilize and lower his heart rate.’”
David’s Story:Realistic Victories Are Possible Therapeutically &
Bureaucratically
Diagnosis “Cerebral palsy, spastic quadriparxsis, seizure disorder, osteopenia and cortical vision impairment. He is non-ambulatory. He requires a wheelchair, stroller and stander for mobility. He is non-verbal.” -- California Department of Developmental Services
Text
What to Look For•Change in timing of hitting tambourine. •Therapist manually assisting with breathing. •Eye fixation initially and then eye movement increases.
“David”
What Your Saw
•Therapist hitting tambourine with client.
•Therapist using manual bio feedback to assist in deep breathing process.
•Eye movement and depth of breath increasing.
•Singing “Go” that requires controlled breathing mirroring and conscious thought.
What’s Happening
•Therapist using entrainment
•Therapist using ISO principle.
•Therapist using high metallic frequencies.
Realistic Victory
•Avoiding full seizure.
•Reinforcing learned deep breathing techniques
•Evidence to David’s support system of his internal world.
David
The IMTS Approach in Action
Other Techniques•Improvisational Drumming
•Songwriting•Guided Imagery In Music
•Motor Planning Rehab
The Challenge
1 Music Therapist 62,000 People
Music Therapy ToolsAvailable in Telemedicine
1. Music Listening to Help Self RegulationUtilize the Iso principle and technology like Coro Health.
2. Make Music & Dance TogetherBond, self regulate, have fun and download music making apps.
3. SingFit
Sing It!
That’s What Singing Does
Closing
1.Thanks to Clients for
Sharing Video (and Paula)
2.Questions & Answers