Let It Be Beatles When I find myself in times of trouble, Mother Mary comes to me Speaking words of wisdom, let it be And in my hour of darkness she is standing right in front of me Speaking words of wisdom, let it be Let it be, let it be, let it be, let it be Whisper words of wisdom, let it be And when the broken hearted people living in the world agree There will be an answer, let it be For though they may be parted, there is still a chance that they will see There will be an answer, let it be (back to chorus) And when the night is cloudy there is still a light that shines on me Shine until tomorrow, let it be I wake up to the sound of music, Mother Mary comes to me Speaking words of wisdom, let it be (back to chorus) 1

Music Therapy in Residential Alcohol and Drug Rehabilitation Treatment: Interventions and Applications Mallory Even, MT-BC, NICU MT Sarah Seo, MT-BC 2

Atlanta, GA 6 Therapists on staff Clients/Patient populations: – Hospice – Private Pediatric & Adult MT – MT in Substance Abuse – MT in Memory Care – MT in the NICU – MT with At-risk and Homeless Youth – Lessons & Adaptive Lessons – Wellness & Training Sessions 3

Breakthrough Recovery Outreach (“B.R.O.”) Started contract in Fall Groups/week 1. Adolescents and Young Adults (~14-20 yrs) 2. Older Adults (~20+ years) - Documentation for each client Treatment Team (2 hours/week) 4

Co-Morbidity of Psychiatric Disorders & Addictive Diseases 37% of alcohol abusers and 53% of drug abusers also have at least one serious mental illness Of all people diagnosed as mentally ill, 29% abuse either alcohol or drugs ( 5

Implications for the MT-BC Need to know your population Common Psych Diagnoses seen at B.R.O.: – Depression – General Anxiety – Personality Disorders Bipolar Borderline NOS Narcissistic With the diagnoses listed above, what behaviors might we see in MT groups? 6

Typical MT Group Goals Self and Emotional Expression Coping Skills Communication (verbal & non-verbal) Group Cohesion Stress Reduction/Relaxation Anger Management Sense of autonomy 7

Intervention #1: Group Mural TX Goals: group dynamics, ownership, encourages participation, positive outlet Sets clients up for success Combines the creative arts (music, art, expression) Materials Needed: Whiteboard or roll of paper, markers, iPod docking station/CD player 8

Intervention #2: Group Songwriting TX Goals: ownership, empowerment, addresses self-esteem and self-expression, group dynamics Something tangible to cling to during treatment Serves as an outlet for their creativity Materials Needed: Guitar and/or keyboard, asst of percussion instruments, paper and pens or whiteboard 9

Songwriting Process Come up with song topic (may need some direction) Define a starting point and ending point for structure Let group take over while facilitating when needed Establish musical “feel” Play a few chord progressions for them to choose A client starts a melody or you start it for them OR rap with no melody *If time allows, you can record! 10

Intervention #3: Relaxation Progressive Muscle Relaxation TX Goals: stress and anxiety reduction, self awareness, coping skills Materials Needed: PMR Script, iPod & Docking Station 11

Discussion & Questions Metro Music Therapy Atlanta, GA Thank you for coming! 12