Music Therapy in an alcohol revovery program

{Special Project

Chelsea Brown

Music Therapy Intern

January, 2014

{Transitions Program

Music Therapy Group

September 2013 – January 2014

New admits & current residents

Purpose of Transitions

Homelessness

Hardship

Behavioral Issues or Mental Health

Alcohol or Drug Abuse

Overview of “Transitions Program”

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

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

How alcoholism affects the brain

Tastes good, genetic predisposition, social pressure

Escapism (escape the pain), appear different

“What point is sobriety if you still feel miserable?”

ESCAPISM

Why drink?

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?

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.

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

Assessment

Develop Goals

Treatment Plan

Therapeutic Music

Experience

Generalization of behaviors

Termination

Music Therapy Process

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

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

Drum Circle

Lyric analysis

Song writing

TIMP (Therapeutic Instrumental Music Performance)

Drum circle

Meditation

Therapeutic Process

Alcohol recovery is not a linear path

Varying census

Data

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.

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

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

{Questions?

Thank you!