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Symposium: Sustaining Professional Music in Healthcare Settings Practice

10am – 4pm, Monday 25th November 2013 The Education Centre, Royal Derby Hospital, Derby, UK

conference-room2LGOPUS Music CIC, in association with Air Arts to Aid Wellbeing and the Royal Derby Hospital presents a one-day symposium to share, discuss and debate on the topic of Sustaining Professional Music in Healthcare Settings Practice.

Bringing together key stakeholders including musicians, healthcare professionals, academics and other partners involved in the development of music (and arts) in healthcare settings practice from across the UK and beyond, this symposium will support the generation and sharing of increased understanding, knowledge and ideas required to sustain this practice.

This symposium forms part of a wider programme of activity delivered by OPUS Music CIC to advocate for and disseminate on this practice and is funded by Youth Music, Derby Hospital Charity, Nottinghamshire County Council, Leicester City Council and Nottingham Hospitals Charity with additional support from all partner hospitals, Derbyshire City and County Music Partnership and Air Arts to Aid Wellbeing.

The symposium will be of interest if you are:

• Interested in finding out about music in healthcare settings practice locally, regionally, nationally and internationally
• Keen to explore how to develop and/or sustain music in healthcare practice within your own setting/region
• Looking to share your own ideas, practice or expertise in the area of music in healthcare settings
• Wanting to network with a range of arts and health professionals

The symposium is open to all with an interest in this practice (subject to capacity).
A charge of £10 per delegate will be made towards the costs of running the symposium.

For more information, please contact Nick Cutts, Director, OPUS Music CIC

nick@opusmusic.org
01773 861630 / 07786 157515
facebook.com/opusmusic.org
twitter.com/music_health

Symposium tickets are available at: opusmusic.eventbrite.co.uk

Music in Healthcare Training Opportunity: 31st October, 1st, 4th, 5th, 6th November 2013

DSC_7887 edited smallWe are pleased to announce that our next Music in Healthcare Settings training programme for musicians will take place on 31st October, 1st, 4th, 5th and 6th November 2013. This will take place at the Kedleston Road Training and Development Centre in Derby, UK, with part of the time spent at the Royal Derby Hospital/Derbyshire Children’s Hospital.

A full brief and application form are attached below. You are advised to send your application asap as places usually fill up quickly.
Please get in touch with any questions you may have.

Music in Healthcare Training opportunity Artists Brief Oct-Nov 2013 (pdf)

Application Form (doc)
Application Form (pdf)

Some of the feedback from trainees on our previous courses:

‘Thank you so much for this opportunity. It was such a pleasure to explore such an exciting aspect of music making with such lovely like minded musicians, with such a high level of professional standard from the trainers delivering this course. I can’t believe we made such fantastic progress in only five days, and I am thoroughly invigorated by what I have seen can be achieved with music in a hospital setting.’

‘This course is really is a must for any musician who wishes to work in healthcare settings. The course leaders are lovely to work with and obviously are very passionate and knowledgeable about their vocation. It’s a massive learning curve, and you must approach it with an open mind and willingness to learn, but you get a lot of support in a really welcoming and friendly environment. I’ve come away feeling inspired and challenged and informed and able to use all I’ve learnt in my own practice straightaway. It is also amazingly good value for money!’

‘Professional, personally and as a musician, this has been absolutely the best course I’ve ever been on. It’s been a fantastic privilege working with a supportive group of musicians, superb facilitation from the course team and a great mix of theory and practice which has equipped me to start my journey into working in healthcare settings.’

‘A fantastic week for those who are interested in learning more about music in a healthcare setting, expanding their repertoire, developing skills in improvising and meeting some truly lovely people!’

‘This course is an excellent introduction and grounding in the professional practice of music in healthcare. It is presented with great professionalism and expertise.’

‘This will test and stretch the way you think about delivering any kind of music intervention. I’d recommend you have previously at least practised this in some way so that you can self-examine and reflect. 100% professional programme in content and delivery. Complements all other training I’ve done and widened my horizons.’

‘Bring an open mind, and be prepared to learn and share.’

‘The course gives an exciting insight into what music in healthcare is like, which can really open your eyes to something new, I know it did for me. There is the chance to experiment with music within a comfortable, relaxed setting, which as a person who hates improvising I found completely stress free and fun. As well as this you learn so many transferable skills for jobs including music and for everyday life which makes the course really worth while.’

Keep CALM and make music…

It’s a busy week this week. Sarah and Richard are making music in Nottingham, Derbyshire and Kings Mill children’s hospitals working with patients, visitors and staff. Meanwhile Nick had an early start this morning to head over to Ireland for 3 days for the launch of a fabulous new organisation CALM (Ceol Agus Lán Maitheas) which has been established by highly trained music in healthcare colleagues from Ireland to provide training and mentoring for musicians and healthcare staff. Nick will be contributing to a training day and an international seminar day during his visit. Meanwhile here are some pretty clouds over the Irish sea…

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Harry’s blog

It’s always a great pleasure to make music with Harry. Here’s one of the many benefits we see from music-making with hospitalised patients, from the parent’s perspective…
Harry’s Blog

Busy week of music making

We are busily engaged as usual this week with music-making taking place at Nottingham, Derby, Sheffield and Kings Mill hospitals along with the ‘Taking the Lead’ project currently taking place in Staveley working with students from Springwell Community College. Great to make so many lives richer through music making.

Music in Healthcare Settings Training

DSC_7887 edited small

From 11th-17th April, we have been busy delivering our latest 5-day training course for musicians, exploring the skills and competencies required of a musician to work in healthcare settings.

Over the course of five days, 8 trainees and 3 trainers have worked together to develop their skills, knowledge and awareness and visited the Derbyshire Children’s Hospital to make music with patients, visitors and staff on medical and surgical wards, in Neonatal Intensive Care and in Children’s Accident and Emergency.

All found the training experience to be stimulating, exciting and hugely developmental. We would like to thank our fantastic group of trainees for their music, their passion for this practice and for their deep reflection which has helped us all to learn and to develop.

Thanks also to our funders and supporters of this practice, including the Derbyshire Children’s Hospital, Youth Music and Derbyshire Music Partnership for making this training course possible.

DSC_7882 edited small

Music and Health Research

Some great links to research papers by Constanza Preti et al at this link here.
http://imerc.academia.edu/CostanzaPreti

‘Costanza Preti, PhD, is a Research Associate at the International Music Education Research Centre (iMerc), Institute of Education, University of London. Her primary research is in music and health and includes a major study examining the impact of live music programmes in paediatric hospitals. Costanza has been awarded a Wingate scholarship and her research has been funded by the UK Economic and Social Research Council (ESRC). She has worked on a number of funded projects including: The evaluation of the ‘Progetto Musica in Emilia-Romagna’, funded by the MIUR (Italian Ministry of Education); Evaluation of the Sing Up National Singing Programme (DfES); Research evaluation of Soundabout a charity specialized in musical provisions for special needs children; Evaluation of Voices Foundation Primer (DfES). She has been editorial assistant and reviews editor for Psychology of Music (Sage)’

Music in Healthcare Training – Brighton

It’s a great pleasure to be spending time in Brighton this week, working alongside the lovely Kate Murdoch at the invitation of Rhythmix to deliver a week of Music in Healthcare training to a group of 10 trainees. We have a great group with broad-ranging backgrounds and interests which should make for a really rich week of learning for all of us.

Today was spent in the training room, enjoying music-making together, beginning to generate shared repertoire within the group, and looking at the background to arts/music in health in the UK today. Lots for everyone to take in from today, but a great start. Tomorrow will be another training room day, exploring music-making on a one-to-one basis before heading off to the Royal Alexandra Children’s Hospital together on Wednesday and Thursday afternoons to make music on the wards with children and young people, their visitors and staff.

Many thanks to Rhythmix and Kate for the invitation. It’s great to be working with you.

A Family Affair – 12/2/2013

Walking onto one of the wards today myself, Richard, Sarah and Roxy observed the space and it was suggested by Sarah and Richard that we spread out around the ward which was in a horse shoe shape with private rooms on the side. This meant that as we dispersed around the room we had to listen out for what each other were playing and respond sensitively to each other as our aim was for us all to be engaged in interactions. On first entering the space we played Sunshine in my heart, an uplifting song. On my left hand side there was a young boy, his father and his sister. The father was hugging the young boy and swaying to the music. Richard handed the young boy and the farther a shaker, which they took with enthusiasm. However, the young girl was reluctant and did not take the shaker. Despite this she sat with her brother and father whilst we played the song. When the song ended the father and young boy requested more. So I conversed with Sarah who was with Roxy on the other side of the room and she signalled to Richard who had gone into one of the side rooms. We then began playing another song Zamina. The father and his son started playing instantly and I could see that the young girl was interested in having a shaker of her own so I went and got one for her out of the box. After the first time round playing Zamina I could hear the father singing the harmony to the songs melody and he had placed his mouth near the ear of his son and was singing this harmony softly. Half way through Zamina the mother had returned to the young boy’s bed side, at first she sat down and picked up a magazine and seemed uninterested. Then all of a sudden she started dancing and so I handed her a shaker, and by the end of the song the whole family were playing and dancing. During their musical interaction the family shared a precious moment where they were group hugging and were swaying in unison to the song. We then played yellow bird and the dancing and singing continued. Jane Edwards (2011) writes how using music is valuable for parent and infant bonding and in this musical interaction I was able to witness the family bonding with each other.

Expectations

I am thoroughly enjoying doing my placement with OPUS and I have had some fantastic musical interactions with the children, their families and the staff at both Nottingham and Leicester hospital. I have also learnt a lot from taking moments to stand back and watch the OPUS musicians Nick, Richard and Sarah in their musical interactions. On one particular afternoon I also experienced the lesson of ‘‘Have No Expectations’. This is something Nick had mentioned in the musician training course that I attended in October of last year. During my afternoon at the hospital I found that we mainly played and then vacated the space as most people seemed to enjoy listening but not wanting to take up the offer of playing a percussion instrument or singing along.
After a morning of rewarding Social interactions it did seem to move more slowly for me. However, as the OPUS musicians reminded me, in the hospital space we are there first and foremost as musicians and if that is what required at that time that is what we do. This was a good lesson to revisit because being a musician and playing repertoire is just as important as the more social interactions. Ronald Borcazon (2004) Writes how “listening to music can be considered interactive if it is purposeful in nature” (9).I would consider all the music used in the hospital purposeful in nature as its aim is to first and foremost to create a positive atmosphere. My lesson from this afternoon was that I do not need to have a full on social musical interaction to have a positive effect on the space and that allowing people to just listen to the music is a very important part of OPUS has to offer.

Taking the lead on music for wellbeing

A great evening of training and music-making last night with a group of young people and volunteers from the Drop Inn in Belper, Derbyshire. We are working with these young people, developing their musical and leadership skills and working towards taking music sessions into their local care home. A fascinating and challenging project but should be really rewarding for everyone involved.

Calming and interactive music – 29/1/2013

Walking through the wards this morning, we came on to one ward and Nick had gone ahead to observe the atmosphere on the ward. Whilst he was making his assessment Sarah and I began playing the song “I can see clearly now the rain has gone”. We began the song instrumentally and in a calming manner, and then we wandered into a bay area. Once in the bay I introduced the vocal line to the song.
As we played the song a young toddler from a different area of the ward expressed an interest in the music. Nick handed the toddler an egg shaker, as we played through a variety of songs and pieces of music, she continued to play along. After a while she became interested in my guitar and so I sat next to her in the ward space. I then invited her to strum the guitar, which she accepted and then proceed to say the words ‘music’. To acknowledge this verbal expression I sang the word ‘music’ back to her. As she strummed the guitar I alternated between the chords C major and G major. She strummed the chords in various ways and I used my voice to mimic the strumming pattern she performed. Sarah and Nick proceed onto the next bay, I felt compelled to follow and the toddler also came with us to the next bay. Here we continued our musical interaction, briefly moving from the guitar to the xylophone and then back to the guitar. We finished this interaction with a funky version of ‘Twinkle Twinkle Little Star’ in C Major.
What I realised from this musical interaction was that it was not important for me to follow Sarah and Nick into the next bay, and It could have affected my musical interaction with the toddler. However, I was fortunate enough that this did not happen and it actually gave the toddler the opportunity to investigate the other instruments available to her. This time it actually worked well but it is something that I will be aware of in future musical interactions.
After waving the toddler goodbye I looked around the environment and observed the space to be calm and relaxed. Later when we left this space Nick informed Sarah and me that when he had inspected the ward at the beginning of the session the ward was actually very busy and stressful. I could not help wonder if the music may have been responsible for this change in atmosphere. In ‘Music and the young mind’ Harris (2009) writes that “Music can have a calming effect on us although we may not be very conscious of it” (19). Reflecting on my experience and this statement I cannot help but feel that this was the case on this occasion.

Favourite song – 22/1/2013

I had a great experience at the very start of the day; we had entered the ward space already playing. As the ward was very quite I was playing at a very low volume, we had gathered round the bed of a young boy who was very much interested in the music and he knew Sarah and Richard well. I had also met this young boy two weeks before and he remembered my face. When we started playing the song I was the furthest away from the young boy. I think this made it difficult for him to hear what I was playing and so he requested for me to come and stand by his bedside. I experienced this invite as enthusiasm for the music and this enthusiasm became even more evident when we played the song Zamina. He was eager to have this song replayed; as there were other patients on the ward it was important to play other songs in between Zamina. Initially, Sarah, Richard and I sang Zamina at a well projected volume, eventually the young boy began to join in. However, by the fourth time of playing the song the young boy’s singing was a lot louder, I had lowered the volume of my singing voice and eventually the young boy was singing on his own. I found it moving to see him passionate about singing this song. He also wanted to invite the nursing staff and other people who were on the ward at the time to join in and sing along. However, some were too self conscious to join in and the nursing staffs were very busy. However this did not stop him enjoying the moment, building a musical relationship with myself and the other musicians, as well as increasing his confidence in his own vocal expression.

musical interaction- by Sarah S

Leicester- 15/1/2013
Today was my first day working with Richard Kensington and Sarah Matthews at Leicester children’s Hospital. It was interesting to work in this new environment; the staff at Leicester’s Children’s Hospital were very welcoming and enthusiastic towards the musicians and it was inspirational to see photographs of some of the work Opus had already done in this children’s hospital.
We entered the space with Sarah and Richard playing ‘The Maid and The Palmer’. It is an upbeat and lively piece of music. I was able to observe how the music added a positive energy to the space. This was then physically reflected by the carer of a young boy who performed a little dance to the music. During this time I began to engage with the musicians and played a gentle musical drone. I was standing close to the young boy whose carer had been dancing; he was lying in bed and reaching out his hand. I felt that he was communicating with me and so I wandered in his direction, still playing the guitar. Once close to his bed side it became clear that this young boy was unable to verbally communicate. However, his eye contact indicated that he was excited by the guitar. His carer then informed me that at home this young boy had three guitars of his own and that he was passionate about music. He was then focusing his gaze up on the guitar and reaching out to play it. As the musicians continued playing I held down the G Major chord and the young boy strummed the guitar. It was a very intimate situation and I was moved to witness the expression of joy the young boy was experiencing during this musical interaction.
We then began to play ‘Zamina’; this was also performed in an upbeat expression. The young boy was more intermittent with his strumming on this song and I read this to be because he was listening to the three of us singing the song and then he would reach out for the guitar and I would step up to his bed side for him to strum the guitar. Sarah then indicated to us all to bring the song to a close, the timing was perfect as I also felt that it was time to leave this young boy’s space and move to another area of the children’s ward.
As a result of this experience I have been able to reflect on literature I have read about children and musical interaction. Especially were the non –verbal child is concerned, the main thing I experienced was the importance of eye contact. Bunt (2007) suggests that this kind of non –verbal communication is vital when tuning into the child. Especially, when engaging in musical play in order to witness the emotion, to understand how intensely the child is interacting and in order to know when to deliver more musical interaction or to end it (90). It was a rewarding experience and I had the opportunity to see theory in action.

Music in Healthcare Training Opportunity – 11th-17th April 2013

We are pleased to announce that our next Music in Healthcare Settings training programme for musicians will take place on 11th, 12th, 15th, 16th and 17th April. This will take place in Derby, UK, with part of the time spent at the Royal Derby Hospital/Derbyshire Children’s Hospital.
A full brief and application form are attached below. You are advised to send your application asap as places may fill up quickly.
Please get in touch with any questions you may have.

Music in Healthcare Training opportunity Artists Brief April 2013
Application Form (pdf)
Application Form (.doc)

Some of the feedback from our last course:

‘Thank you so much for this opportunity. It was such a pleasure to explore such an exciting aspect of music making with such lovely like minded musicians, with such a high level of professional standard from the trainers delivering this course. I can’t believe we made such fantastic progress in only five days, and I am thoroughly invigorated by what I have seen can be achieved with music in a hospital setting.’

Taking time to be with people

A big part of our work as musicians in hospitals is to be there as a musician and a human being spending time with other human beings, to make music for and with them and to create a cultural venue within a clinical environment.

We often get asked if it is emotionally difficult to spend so much time in hospitals, especially with children. There are, of course, always emotional moments in our practice, and we allow ourselves to be emotional as part of our professional practice, indeed it is important that this emotion becomes part of our music-making to allow us to be ‘in-tune’ with the patients, visitors and staff with whom we work. We must always be careful, however, that we do not project our own emotions onto others – this is also part of our professional undertaking.

It is, however, more normal for us to work with the well-part of the person, to enhance and support the cultural, vibrant, and well part of the person. Medical staff work hard to take a holistic approach to their work, however, they are principally there to treat the illness. We are hugely privileged to be able to take the time for this approach, one which seems to complement and support the work of the hospital staff so well.

Over recent weeks, we have seen this human-to-human approach work so well. In Sheffield Teaching Hospitals, working with elderly patients and those with spinal and neurological injuries, we have recently been able to take more time to explore musical interests with individual patients, to support them in singing and playing musical instruments with us, and to rediscover their creative and cultural selves. Medical staff have observed and taken part in some of these sessions, making new, human-to-human contact with patients and seeing new potential despite their illness or injury. It is fantastic to be able to support these new patient-staff partnerships.

In children’s hospitals, the time spent with individual patients and their families becomes special time, time for a parent and new baby to bond in a neonatal intensive care unit, time for ‘normal life’ to resume if only for a moment, time for music 🙂 When doctors, nurses and other hospital staff become part of these interactions, the space and relationships within the hospital change completely, and we are all human beings together.

Leo Tolstoy wrote (What is Art, 1897):
‘… In order correctly to define art, it is necessary, first of all, to cease to consider it as a means to pleasure and to consider it as one of the conditions of human life… Art is a human activity consisting in this, that one man consciously, by means of certain external signs, hands on to others feelings he has lived through, and that other people are infected by these feelings and also experience them.’

It’s wonderful to be able to share music-making, a ‘condition of human life’, with all those we encounter in hospitals.

More feedback

This time from some of our artistic young participants taking part at children’s hospitals around the region…

Some feedback from the past 2 weeks…

Here’s a small selection of feedback from children’s hospital patients and parents from the past two weeks….

Thank you so much for the musical experience this morning. What a lovely surprise…… it was fantastic that you came in with your instruments so that both children and adults could have some much needed stress relief, entertainment and engagement.

It’s made my stay memorable and I really liked it cause of the guitar as I love them. Thank you.

‘J’ really enjoyed the music. He joined in and enjoyed looking and learning about the different instruments. Thanks for taking his mind off being in hospital.

Your music and songs have really helped cheer my daughter ‘A’ up. Any myself too. It was great to see her smile. You have brought her happy memories back from her holiday. We were all really interested in learning about your instruments. I think you may have encouraged her to get back into her dance now. Also you have helped relax her prior to her MRI today. Thank you. She keeps humming WACKA WACKA and smiling. Thank you very much.

I enjoyed it, thanks very much. It was my first time playing the violin. I liked the sound. OPUS played very well.

‘B’ was in bed when you came in still feeling quite drowsy. Now she’s up and about feeling happy.

The music was a lovely surprise and very calming for the children. ‘J’ especially enjoyed using the instruments and making up his own music.

I have seen the musicians in our daycare ward and in outpatients. It was clear to me that the music was enjoyed by all and so very well received. I was particularly impressed to see the children participating.

It was fab, really cheered everyone up and brought everyone together.

Thank you so much. Wow, what a wonderful lift to all of our days. “We are not poorly any more” Well maybe only a little. Please continue with your wonderful music. x

It’s clear from the great feedback we are receiving that our aim of creating cultural venues within the hospital is really working, allowing children, parents and staff to share music-making together, and within communities of wards, bays and families. Thanks everybody for your feedback, including some fabulous pictures which I will try to post soon 🙂

Reflective moment

Sarah, Rich and Nick sharing a reflective moment after a day at Derbyshire Children’s Hospital visiting medical and surgical wards, Accident and Emergency and Neonatal Intensive Care.