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8 Tips for Self Care While Serving a Client

How many times have you heard “If you can’t take care of yourself, then you can’t take care of others.” A million times, right? This is so significant in my life that I even manage to take care of myself while facilitating sessions.

I wouldn’t say I’ve mastered it yet, but my self-care practice has evolved tremendously in the past 5 years. These suggestions come from my own experience and the experiences of some colleagues with whom I’ve spoken about the topic.

Self-care is the act of maintaining personal wellness (physically, emotionally, cognitively, spiritually, and socially) that allows one to function at his/her most optimal level during daily activities.

The American Music Therapy Assoc. Professional Competency 14.1 reads: “Recognize the impact of one’s own feeling, attitudes, and actions on the client and the therapy process” (AMTA 2009). I further believe that it is the responsibility of the therapist to refer the client to another professional if the therapist is not healthy enough to provide service.

In the Drum Call with Christine Stevens, I stated that “If you come home from work and you are exhausted, too tired to make dinner, too tired to exercise, then something is out of balance in your practice.” In my opinion, the therapist should feel an even exchange of energy. And it’s the therapist’s responsibility to regulate his/her own energy exchange during the day.

Here are 8 ethically-sound ways to take care of yourself during the day:

1. Check in with yourself. When you do a check in with your client(s) (e.g. hello song, drum greeting, first deep breaths), also check in with yourself silently. If you find you need a deep breath, then facilitate a few deep breaths for your client(s), too. If your leg is stiff, then work in a gentle leg stretch in the session (if it flows with the rest of the session). Better yet, come to the session centered, grounded, and prepared. If need be, start the session late so that you can take a moment for yourself beforehand.

2. Watch your body position. When I first heard of the Floortime approach for treating kids with autism, my initial thought was “Oh the poor therapist will have to spend all sorts of uncomfortable time on the floor!” I learned more about the approach, and it is possible for the therapist/parent to be comfortable while engaging in this approach. Music therapist Cami Smith of Rhythmic Minds knows the importance of ergonomics from experience. From years of working on the floor with kids with special needs, Cami occasionally suffered from inflammation of one of the sacroiliac joints. Now Cami recommends using discs and wedges to support proper ergonomics when working on the floor.

3. Notice how long you sit in the car. I ran into someone in the coffee shop the other day who told me of her chronic sciatica. She’s in great physical shape otherwise. She blames the sciatica on a decade or two of driving 400 miles per week for work. This made my ears perk up. Sometimes I drive over 400 miles per week! One of my professional goals for the next year is to minimize driving time.

4. Notice the volume and usage of your voice. Do you ever have to yell over drums? Do you ever grumble your voice for effect? If you sing, how is your singing technique? If you are experiencing pain in your throat, then see an ENT doctor immediately to check for vocal nodes. I’ve had to take a month off work before just to let my voice rest, and it was worth it!

5. Lighten the load of physical exertion. Decide whether it’s necessary to expend as much energy as you do. Tone it down and see what happens. Start conserving more energy than you exert during a session, and notice how you feel afterward. Also notice if your clients actually benefit from your exertion. In my experience, they more than often do not.

6. Lighten the load of emotional exertion. Go into the session simply as an observer. Give yourself an emotional break for a change during the session and don’t take on emotional burdens. Realize where and how you get inspiration from your work, and practice focusing attention on your inspiration.

7. Take time for your own creative expression. You’re making music, improvising with clients, song-writing with clients, providing a healing space for clients, and more. Do this for yourself, too, in your own time or with friends.

8. Financial health is also part of self-care. Make sure you are getting paid an honorable salary for your services. Otherwise, burnout happens quickly! Nothing is worse than going into a session with resentment for not being able to afford the gas it takes to get there. A few weeks ago on Twitter, I shared the spreadsheet I use to calculate net earnings per session after taking into account travel time, gas mileage, tax estimates, length of session, etc. If you’d like a free copy, send me an email at Kat@SoundHealthMusic.com.

A blog post could be written on each one of these and expanded upon! But this is a great start. The general idea I have is that it is impossible to give your client the absolute best possible service if you (the service provider) are not well. What do you think?

Be well, feel good, and make music!

Photo courtesy of Max Vuong.

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MythBuster Countdown #7: Drumming is for Hippies Only

Is drumming for hippies? Yes. Is drumming for non-hippies? Yes.

First of all, I want to point out that (executives in many cases of) the following Fortune 500 companies have used drumming for team building: Qualcomm, Sprint, PepsiCo, IBM, Nike, AT&T, Honeywell International, Motorola, and more.

Second of all, I have a story. After getting to know my parents, you would never assume that they would ever drum. Not to mention, you might imagine the friendly wager between my sister and me when they flew from Georgia to visit me for the first time in California last Thanksgiving. My sister swore I would never get them to drum…

Background on my parents: My loving parents are about as non-hippie as you can get. They are devout Anglicans, a denomination of Christianity that does not allow women to be ordained and uses the 1928 Book of Common Prayer. (Other worship service characteristics include non-charismatic ritual, bowing heads, genuflecting, kneeling, quietly praying, and intellectual sermons.)

My parents are also passionate Republicans. When I was growing up, my parents told me what a tumultuous time the Vietnam Era was because of the increased drug-use, long hair, and as my Dad puts it “the powerful, nihilistic sub-culture which existed then predominantly on campuses and has continued to invade many of our other non-profit institutions.” (He was describing hippies.) My Dad would never be caught dead wearing bluejeans, and he suggests to anyone who wears his/her hat backwards, “It would be far more effective and efficient if you wore a billboard that said ‘World, do not take me seriously.’” My Mom has marched at least twice on Washington. Once against the ERA, and once against Obama’s healthcare reform. They also often attend local Tea Party events. Pretty hardcore, eh?

Back to non-hippies and drumming~ After breakfast the morning they were here last November, I caught a lull in the visit. I went for some drums, put them in their hands, and voila. Following a quick and slightly awkward moment, I belted out “ONWARD CHRISTIAN SOLDIERS…” and we were off, drumming away. That’s all it took. We sang some patriotic tunes. My Dad played my high school’s signature football drum call, over and over. I couldn’t pull my Dad away. And guess what. He told me that when he was a kid, he had always wanted to be a rock ‘n’ roll drummer! I had no idea that my accountant, statistician of a Dad ever wanted to be a drummer!

No wonder he couldn’t get enough drumming. He even sat through a photo shoot with the drums.

As a side note, perhaps my opinions and values are not the same as my parents, but I certainly am proud of them for practicing their beliefs, upholding their values, and being my one and only, authentic Mom and Dad.

Check out the other music therapy Mythbusters:

#9 Music Therapy is Therapy for Musicians, Right?
#8 Making Music is Just for Kids and Professionals
#6 Mozart Makes your Kid a GENIUS

Special thanks to federico stevanin for the image above.

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9 Tips: Drum Circles for Kids with Special Needs

Marilyn, one of my subscribers, recently asked me about drumming with kids who have special needs. She and her business partner have been hired to run a drum circle at a summer camp! Marilyn is a drum circle facilitator in Jacksonville, FL, she runs Heart 2 Heart Circles, and she blogs at Marilyn’s On The Move.

Here are some starter tips for drum circles for kids who have special needs:

1. Find out how many kids, and find out what the grown up to kids ratio is. It’s important to keep the ratio high on the grown up end. Then you can ask the grown ups to keep the steady beat and assist the kids. Also, the fewer kids you have, the more individualized you can get. Take it all into consideration when designing your drum circle experience.

2. Find out the theme and function of the drum circle. Is this for a summer camp, a birthday party, an end-of-year celebration? Choose songs and chants appropriate to the theme.

3. Find out the needs of the kids, and make sure you have plenty of adaptive instruments to meet those needs. Check out the adaptive instrument section of my inventory list. Two of my favorites are the mallet cuffs that you can velcro onto a hand and the adaptive instrument mount for wheelchairs and desks.

3. Find out what chants, songs, and activities the kids already know. Start with those to build rapport and bring everyone together in rhythm. I would encourage using tons of chants and songs with the drumming. And as always, encourage the grown ups to sing along.

4. Build relationships with the kids in small groups or individually before the larger event. I have found that the most effective drum circles blossom from already-established relationships with the kids. Work in smaller groups for days or weeks in a row prior to a larger drum circle. This way, the kids know the songs and chants that you’ll use, and they anticipate the final day when everyone comes together.

5. Demonstrate exactly what you are planning for the teachers/counselors/grown ups. They are your TEAM, so utilize them! Go through the drum circle with them first in preparation if possible.

6. Use call and response and rumbles as mini assessments of the group in the beginning. Observe the group’s response, and base the direction of the drum circle on your observation. Be present. Meet the kids where they ARE, and slowly take them elsewhere, always evaluating their response to your facilitation.

7. Try firework rumbles. Have everyone rumble softly, and tell them that when you extend your hand towards them, they should let out a firework on their drum! This rumble can last forever with different spotlights – You can facilitate a larger firework rhythm over the soft rumble in different areas of the drum circle.

8. Spotlight the kids, build confidence. Once everybody has a rumble down, you can ask if there is a child who would like to come to the center to give the “cutoff.”

9. End with rumble intentions. Invite participants to call out one word, invite the group to repeat the word, then rumble in honor of that word/intention. For instance, say “we’re going to rumble for unity!” Then, invite the crowd to shout “Unity!” at the count of three, then rumble for unity.

Extras: There are some great themed-songs for kids at Listen and Learn. The artist Rachel Rambach is a music therapy colleague of mine in Illinois. She does a stellar job combining social, community, learning aspects to music. Pull out a guitar and check out her songs! Several of her songs can be used to accommodate larger groups and coincide with themes.

Another great resource is the Erfurt Music Resource. You can peruse through EMR by clicking on the pages and labels that suit your needs. Find out how other people do it! Find songs that are good for larger groups, find adaptive instruments that are good for kids who have special needs, and you’ll be all set!

Got more tips? Throw down a comment!

Image above courtesy of Diana Burrows.

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17 Musical Instruments You Can Find at Your Workplace

I’m always encouraging people to make music during the day as part of a regular wellness regime. A couple of weeks ago, I wrote 9 Crazy Ideas for Playful Spontaneity during the Work Day. This time, you can see how easy it is to jam with your office mates.

I dedicate this post to John Kozak, co-owner of Fulton & Kozak, CPAs. The full story of my inspiration can be found below. This post is also a gift to all of my CPA friends, my dad, my mom, my brother, my sister-in-law, and everyone at F&K in Morrow, Georgia for the end of tax season. Congratulations everybody! Now you can relax and start an office jam session!

A friend the other day told me about their 2 o’clock office gong break. Apparently, at 2PM every day, all the employees take a minute to reflect during the ringing of the gong. What a great idea to encourage checking in with yourself and/or a feeling of relaxation. Let’s take music & wellness in the workplace further now by jamming with your co-workers.

The first steps to an office jam session are just as important as the instruments you choose to play. A balance of good preparation and adapting in the moment will make for good rhythm at your place of employment.

Get started here:

1. Conspire with others. There is power in numbers.

2.
Decide on the time and location of the first jam. Are you going to start the jam spontaneously, or are you going to plan a first rehearsal? What fits the culture of your office? You could try to start a jam spontaneously. For instance, go visit a friend in his/her cube, and start stapling the stapler in rhythm. See what your friend does. Maybe he’ll join in… If he responds verbally, just keep bobbing your head to the beat and smiling. If you’re going with spontaneity, then skip #3.

3. Set up a first rehearsal. Send out a memo, email or tweet that gives everyone a time and a place for the meeting. You can decide whether or not to make the jamming aspect of the meeting a surprise. You could call it a “Team Builder” or an “Office Refresher.”

4. Designate players. Don’t ask if he/she would like to play. That gives him/her a chance to say no. For instance, go up and hand the hole puncher to someone, and demonstrate how to make rhythm with the hole puncher. The more nonverbal you can make the instructions, the better, because people will focus more on the rhythm and less on verbal comments.

5.
Make sure someone reliable is laying down the bass. A key to any successful first-time jam session is finding someone who can keep a steady foundational beat. Give that person an instrument with a low pitch such as the large water bottle or an upside down bucket.
Use these mallets: Pencils, pens, highlighters, rulers, letter openers, closed scissors, forks, knives, spoons

Play with these office items:
1. Strike a large community water dispenser with mallet
2. Staple a stapler. Staples are cheap, so use them rhythmically!
3. Punch and release a hole puncher. One, two, three, and more holes work.
4. Stretch and pluck rubber bands melodically.
5. Shake paperclips or thumbtacks in their container.
6. Jingle car keys or coinage rhythmically.
7. Use a mallet to strike and slide across a small, ribbed water bottle as a guiro.
8. Make sure the computer power is off, and slide a mallet across the keyboard, another guiro.
9. Slide and strike a mallet on an air vent, another guiro.
10. Flip the pages of a large book slowly, another guiro.
11. Open and close the microwave door if the kitchen is handy.
12. Strike an upside-down bucket. You might find one under the sink in the bathroom.
13. Pop bubble plastic.
14. Click a retractable pen on and off.
15. Crumple paper or rub two pieces together rhythmically.
16. Play a cell phone ringer as a last resort unless you can find one that you can adapt to the group’s rhythm.
17. Play a MacIntosh or PC start up sound, another last resort.
Let me know how your office jam turns out!

Here’s the story that inspired me to write about an office jam session:

My parents bravely established a small accounting firm in Atlanta, Georgia, in 1984. That was with 4 kids and $0.00 income. My brother and his business partner John purchased the flourishing firm (now with 20+ employees) a few years ago.

In the summer of 2000, I worked as the receptionist at the business. John and I would play pranks on each other. I would slip subliminal messages underneath all the business bullet points on his dry-erase board about how he should go out and buy my favorite potato chips, he would switch around my desk drawers, I would glue on all the caps to his pens, he would set my cell phone to Spanish, and we would greet each other with a “Kathryn” and “John” like Neuman and Jerry in Seinfeld.

My family knew that working in an office all day (instead of making music) gave me nausea, dizziness, dry eyes, and headaches. So, to break from the monotony, I decided to shake things up a bit. I went to the intercom when everyone was out at lunch, except John. I was hoping that John didn’t know everyone was gone. That way, John would be tricked into thinking that everyone was listening!

I announced, “Attention all DJ Fulton CPA employees, as part of the implementation of the new Corporate Zerotasking Campaign we are calling all of you in for a mandatory dance party on John’s desk in 60 seconds. That’s on John’s desk in 60 seconds. Please quit your blamestorming and come down for a dance party on John’s desk now.

He flew into my office with a face as red as the Georgia red clay on a rainy day! It worked ~ He thought everyone heard the announcement! I thought he might explode.

And then, much to my surprise, one kind, gentle, extremely reserved, rule-following employee arrived at my desk to ask about the dance party. I hadn’t intended for anyone actually to HEAR that announcement! Whoops. Joke was on me. This kind of behavior just isn’t appropriate for an accounting office, right? My face was Georgia red clay…

I’ve since decided that a dance party on top of a coworker’s desk may be asking too much. Knowing what I know now, an office jam session would be a much more effective intra-office experience!

Have you had any musical interactions with your office mates? Let us know by leaving a comment below.

Photo courtesy of Carlos Porto.

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45 Hospitals with NICU Music Therapy or Supportive Music

You can watch and read a NICU (Neonatal Intensive Care Unit) Music Therapy overview here.

Now, find the closest hospital to YOU that offers NICU Music Therapy services. The following hospitals use music therapy in the neonatal intensive care unit. Hospitals outside of the US may use either supportive music or music therapy. The links will direct you to the hospital’s music therapy service page. This list is based upon internet/email searches and word-of-mouth and may not be a comprehensive list of facilities.

The number of hospitals that offer NICU MT has more than pentupled since only 7 in 2002. Last updated ~ 8/5/10

USA
1. Birmingham, AL: UAB Hospital
2. Boston, MA: St. Elizabeth’s Medical Center
3. Chicago: Children’s Memorial Hospital
4. Cleveland, OH: Rainbow Babies & Children’s Hospital
5. Evanston, IL: North Shore University Health System
6. Kansas City, MO: Children’s Mercy Hospital & Clinics
7. Hackensack, NJ: Joseph M. Sanzari Children’s Hospital at Hackensack University Medical Center
8. Houston, TX: Children’s Memorial Hermann Hospital
9. Indianapolis, IN: Clarian Health
10. Iowa City, IA: University of Iowa Hospitals & Clinics
11. Mesa, AZ: Cardon Children’s Medical Center
12. New Orleans: Children’s Hospital
13. New York: Beth Israel Medical Center
14. New York: Komansky Ctr for Children’s Health
15. New York: Maria Fareri Children’s Hospital at Westchester Medical Center
16. New York: Montefiore Medical Center
17. Orlando, FL: Florida Hospital for Children
18. Park Ridge, IL: Advocate Lutheran General Hospital
19. Philadelphia, PA: Children’s Hospital of Philadelphia
20. Philadelphia, PA: Hahnemann University Hospital
21. Pittsburgh, PA: Children’s Hospital of Pittsburgh of UPMC
22. Richmond, VA: VCU Children’s Medical Center
23. Salt Lake City, UT: Primary Children’s Medical Center
24. Tallahassee, FL: Tallahassee Memorial Healthcare
25. Tuscaloosa, AL: DCH Regional Medical Center

Australia
26. Melbourne, Australia: The Royal Children’s Hospital
27. Victoria, Australia: Monash Medical Centre

Austria
28. Wien: Wilhelminenspital

Canada
29. Halifax, Nova Scotia: IWK Health Center

England
30. London: Chelsea and Westminster Hospital

Germany
31. Bielefeld / Bethel: Evangelisches Krankenhaus
32. Bremen: Klinikum Bremen-Mitte
33. Bremen: Klinikum Links der Weser
34. Friedrichshain: Vivantes Klinik
35. Halberstadt: Klinik für Ki-u. Jug. Medizin
36. Hamburg: Kinderklinik Altona
37. Magdeburg: Universitätsfrauenklinik Magdeburg
38. München: Uniklinik Großhadern
39. Stuttgart: Olga-Hospital

Israel
40. Kfar Saba: Meir Medical Center

Spain
41. Madrid: Hospital Universitario “La Paz”

Sweden
42. Varmland: Central Hospital in Karlstad

Switzerland
43. Basel: Universitätskinderspital (UKBB)
44. Bern: Inselspital
45. St. Gallen: Ostschweizer Kinderspital

Please leave a comment or email me if you have any additions or modifications to the list.

Image above, courtesy Clare Bloomfield.

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