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Apprenticeship

Reflections on Apprenticeship: Joe Danks

Dancing in Hospital Corridorsjoe danks b&w

Jim knew that he wasn’t much of a singer or dancer, and to him, a public display of singing and dancing implied he thought himself and expert. The villagers just stared at Jim and said, “What do you mean you don’t sing?! You talk!” Jim told me later, “It was as odd to them as if I had told them that I couldn’t walk or dance, even though I have both my legs.” Singing and dancing were a natural activity in everybody’s lives, seamlessly integrated and involving everyone. The Sesotho verb for singing (ho bina), as in many of the world’s languages, also means to dance; there is no distinction, since it is assumed that singing involves bodily movement.’

This Is Your Brain On Music – Daniel Levitin 2006

To some people, making music is an activity reserved for the elite. This is no more apparent than in the UK’s concert halls, with their ritual flower bouquets and coughing breaks. This is the same for dance, an art form most commonly seen at the wedding disco. So where does that leave us, stone cold sober in the harshly clinical environment of a hospital corridor, bobbing up and down in time to ‘Wind The Bobbin Up’?

I love dancing. As a child my role in my parent’s band was to be the first on the dance-floor and to encourage others to join me. Im still doing that now! I’ve pogoed and shuffled and bopped and moshed and salsa danced to all kinds of music and I hope I always will. However, most of my dancing has been with others doing the same thing in a dimly lit venue. Using movement in my music in healthcare practice has been a relatively new exploration for me. Its important to recognise that the young people we’re working with are often dancing, and we should positively reinforce this engagement with our music.

I do this sometimes by mimicking the movement of a young person, and sometimes by responding to their movement with music too. An example of this happened in a corridor, with a young person en route somewhere with his mother. He boogied along to the music we were playing in the adjacent ward, and his mum stopped and the both stood and watched. I turned away from the ward and noticed them. The child started, slowly at first bobbing up and down with the music. I joined in, naturally! This lasted for a minute or so. The music came to a natural conclusion, and I started improvising gently around a G chord, just to keep the music and dancing going. The rest of the musicians started to join in, not only with the music but with the movement too. Dave then led us into ‘Round and Round the Village’, an English Childrens song, and we all marched!

I think this highlighted the point to me that we are only embarrassed about dancing because we are told to be, and often children are yet to feel that embarrassment. I am now as confident in using movement in the hospital ward as I am singing and playing, and I feel that it is becoming an integral part of my practice. Its useful for making people laugh, making people dance and keeping people engaged; definitely not something to be embarrased about! Perhaps we all need a little more ‘Ho Bina’ in our day to day lives?

Reflections on Apprenticeship: Marc Block

marc blockJames and I had been playing for a while with B (a boy of around 5 with Down’s), who had been enthusiastically playing on the xylophone. We played through a song and brought it to an end, and B carried on playing, so we picked up his tempo and played chords along to him until another piece of repertoire emerged and we played that through, B focussed intently all the while on his playing. There came a point where B very clearly stopped and gave the beaters to his mum, who remarked how impressed she was that we were able to play in such a way that made B the musician and us his accompanists, and that we played something really good that he was taking a leading part in. This felt like a ringing endorsement, that what she described is EXACTLY what we’re aiming for.

Three of us had played to a whole bay, where I had offered a teenage lad with cerebral palsy a shaker – a bit tentatively as I was not sure if he would be able to hold it and I knew his motor control would be limited. His face, however, was such a beaming welcome of the music that it felt right. He did hold the shaker and was able to move it from side to side and played exactly on the rhythm. The song ended and he handed it back. The others said their goodbyes and made to go, but I was having a strong feeling that the lad could happily play more. I decided to go with that and, rather than be led by the others, said we could do more and went back to him with the xylophone. He struggled a little with the beater (we need a thick-handled one!) but clearly enjoyed being able to make sounds as Rich played and we sang along, and his brother came along and helped him with it. Meanwhile, across the bay, Sarah had engaged a mother and child in more play with the glock. It seemed very much the right thing that I had followed my instinct there and gone back to him, and the others agreed. At this point in the apprenticeship (very few sessions left) I’m pleased to be taking a lead in this way.

Music in Healthcare Settings Conference: Derby, 16 July 2015

royal derby hospitalThursday 16th July 2015, 9.30am – 4.30pm Education Centre, Royal Derby Hospital, Uttoxeter New Road, Derby, UK.

We are delighted to launch the forthcoming International Music in Healthcare Conference, hosted by OPUS Music CIC in partnership with Royal Derby Hospital and Air Arts to Aid Wellbeing.

Bringing together music for health practitioners, healthcare staff, promoters, funders, researchers and other key stakeholders, this event promises to provide stimulus for discussion and debate around the ongoing development of Music in Healthcare settings across the UK and beyond.

A mix of thought-provoking presentations and discussion groups throughout the day will leave all stakeholders with new contacts and new ideas for continuing to develop their own practice.

Places are available to book for a modest charge of £10 from the Eventbrite link below (includes tea and coffee on the day).

Eventbrite-logo
We are also hosting a Music in Healthcare Settings ‘Music Sharing’ day on Friday 17th July 2015, to be held in Derby. Any musicians attending the conference are invited to come along from 9.30am-3.30pm (stay for as long or short a time as you like!) to make music with like-minded musicians (small charge of £2 payable on the day to cover refreshment costs).

Please email us at conference@opusmusic.org if you would like to come along to the Music Sharing day.

Reflections on Apprenticeship – Joe Danks

joe danks b&wMy experience as a Music In Healthcare Apprentice in 2014/15 has provided me with a fantastic platform to build my own practice in the coming months and years. I strongly believe that good MiH practice comes from experience, and that this work is all about learning how to adapt to different situations.

One thing I would like to highlight is how a combination of non-verbal approach techniques and repertoire in different languages can help overcome some of the challenges posed by cultural diversity in our hospitals. Instrumental music is not bound by language constraints at all and part of good practice is using repertoire with a ride range of languages. Working as a MiH practitioner has strengthened my belief that music is hugely effective as a communication tool between people from all backgrounds and all ages. There are countless examples of this happening in the last 6 months, and it was been noticeable from when I first engaged in this work in November 2013.

One that springs to mind happened in a neo-natal intensive care unit. Myself and Oli were working as a pair in a small space with 3 newborns. These rooms can often feel very cramped and often the breathing apparatus and monitoring machines can make them feel very noisy. For this reason it is important to be aware of the sound you are making and make sure you are not just contributing to the hum of medical equipment and causing a negative effect. Whilst we were making music with ukulele and melodeon, I feel that the most effective instrument in that space was our voices. We sung, Kyla Vuotti Uutta Kuuta (a traditional karelian wedding song sung in a Finnish dialect) and Zamina Mina (a cameroonian song sung in Fang). We also sung some traditional English Lullabies like Twinkle Twinkle Little Star. This seemed to be working well and the two parents in the room were making physical contact with their children and even singing to them!

We were then greeted by a young girl around 5 or 6 who had come to visit her baby sister; she was accompanied by her mum. We continued to play as they got settled. I then went to fetch the box of instruments from outside the room, and chose the Glockenspiel to get out first. I continued to play along with Oli on Melodeon but on the Glockenspiel now. Being aware of the sensitivities of the space, I carefully chose which beater to offer to the young girl and continued to play very quietly along with the music. The young girl hesitantly began to join in and grew in confidence as the music continued. We played 5 Little Speckled frogs together, and then she took to a spark shaker as we played Galopede, an english country dance tune. We were aware all this time of the other parents in the room smiling and vicariously enjoying the music making through the young girl who was clearly having a wonderful time.

As the final tune wound to a close we were asked to stop by a member of the medical team as one of the babies in the room was about to have an X-Ray and they had to move the X-Ray machine into the room. We did so quickly and packed away our instruments. It was only then did we say thank you to the young girl for playing and realise that she spoke very little english. It struck me that we had managed to facilitate music making for a young person, relax the room and provide music for patients and parents, and perhaps most crucially of all provide a platform for parents and siblings to interact with their newest family members using almost no words.

It is important to say that this is one of the instances where music has really been useful to overcome cultural barriers, but this is not always the case. There has been times where it has not worked so well (presuming that every child knows wind the bobbin up springs to mind!). Even the trickiest interactions provide an opportunity to learn, and I am trying to soak in as much as I can from the apprenticeship programme as I begin work at Great Ormond Street Hospital, a hospital that will provide an even more diverse body of young people to make music with and learn from.