Many people ask me "how would want in such a horrible place patient-related criminal court practice it?" For me, where the internship espana is a learning experience, a different place and my internship is not a lot of ethnic music therapy intern Preferred Bale. Maryland Springfield Hospital Center (hereinafter referred to SHC) music therapy espana internship program this year (2013) has entered the twenty-five years, the first session of music therapy intern was started in 1988, a few days ago when I attended espana the 25th anniversary After the anniversary of when the first session also saw the graduation of music therapy intern, the feeling is really wonderful! Different periods of music therapists gathered to share their experiences, memories SHC, and the development after graduation. It is because of that party, so I think of that period in the SHC has repeatedly said a long or short is not short of music therapy internship experience, put notes under the relevant experience.
SHC was founded espana in 1896, is part of the Maryland state government mental hospital. SHC patients currently divided into three types: court (forensic), the Civil Court (civilly committed) and voluntary admission of patients (voluntary patients) (Note). In 2013, for example, patients admitted primarily court ordered hospitalization, and patient-related and involve the court (court-ordered and forensically involved), espana personal contact with the patient during the internship background mostly murderers, rapists and spirit schizophrenia patients based. SHC is divided into two main medical building, seven different medical units. In addition, SHC provides acute care (acute care) and long-term treatment (long term service) two treatment modes, and the hospital's medical team is composed of professional therapists in different fields, such as: music therapist, art therapist, physical therapist , occupational therapists espana and other professional health care and other personnel includes physicians, psychiatrists, nurses, social workers and the other containing the components. Case After consultation, espana the physician determine if patients need long-term treatment, then such patients will have tailored specifically for their treatment plan, and this health espana plan is a unit of six weeks to assess and review and adjust the patient's treatment plan.
During music therapy practice, to participate in the music therapy group lessons related to the rich and diverse categories, including a drum circle (Drumming Circle), the value of music (Value of Music), music singing (Sing-a-long group), Choir (Gospel Singing Group), lyrics implications discussed (Lyric & Analysis), Creative Arts Therapy (Creative Arts Therapy), Music and Movement (Music and Movement), Qigong (Qigong), music and relaxation (Music & Relaxation), hand bell group (Handbell group), a glorious future (Best Foot Forward), ready to go (Discord to Resolution), develop the right attitude (Attitude), the movie treatment (Healing through Movie). It is worth mentioning that the "hand bell music therapy group," this group. As the group passed through his hands before the bell once the hospital group, espana so the hospital on a physical instrument has a complete set of hand bell for me to use. I led hand bell music therapy groups as follows:
A total of seven hand-bell's total members, including six male and one female crew members. espana All members have no musical background, but everyone can understand English alphabet espana with cognitive functions, like different types of music. Coordination of the patient's limb movements, and not a person in need of special assistance to play the hand bell, can each hand holding a note; everyone has basic social communication skills (spontaneously ask questions, members can also respond to the question).
According to the assessment team members above background, I will hand bell this target group as the following two points: one is to help patients enhance problem-solving ability (problem solving skill), the second is to strengthen social skills (social skill). The ultimate espana goal is to group members can be expected in the case of no command, coordinate with each other through communication and co-operation can play a full hand music. Also, you can play a song co-written and four-four beat, simple melodies eight subsections.
As for the hand bell group situation and progress of the implementation of the steps, espana that is, at the outset I would like to introduce music notes represented by letters of the alphabet, hand bell sound, and teach how to properly play the hand bell. Two months of the beginning of the song and the name of my teaching day will be written on posters, playing in front of groups I will sing the song played over the day, and then ask members remember melody, lyrics, and song background After first invited members to join me in singing mode or simultaneous read it notes (depending on the day the case may be). Song choice is to leave everyone played together before and did not lift off the mark in the selection of a single song, and then mixed new songs. Songs will be preceded by the presentation of an octave song starts, then slowly increase the lift sign or extended to two octaves .... and so on.
Two months espana later, in the absence of the name of the song, the crew were the first to play the song again that day, asking them to play while watching the notes on the poster while listening to their playing melodies, and then ask them to name the song. In addition, two months after I'd started to write on the poster intentional wrong notes. Members are uncertain attitude from the beginning, gradually transformed into certainty and correct errors. Near the end of the internship, the crew were able to without the assistance of the poster espana only song names one by one to find the right notes, fill in the blank, and play. In the last group lessons internship ended, all without the assistance of members able to improvise a song together four four beats / twenty sections of the song, and named their songs as "Winter Song"; members can not provided espana posters, the absence of command, by listening to each other, eye contact playing and singing songs, the music creation process direct / indirect promotion of social skills groups.
During the training center, set treatment goals for the patient is to teach patients how to improve disease awareness sense (to focus on their real problems), how to increase the sense of reality (to understand the difference between fantasy and reality), how appropriate expression espana emotions, how to improve the face of pressure coping methods, how to have a think about the system organization, and how to plan for life after discharge. In such an environment, internships, see the progress and changes espana in the patient is a very happy thing. I remember one time most patients have up to a half months did not speak, just as all psychiatrists decided to strengthen drug treatment and delay preferential treatment increased false when the patient began to speak in the music therapy group. Day's espana topic is how to make good and bad decisions, turn the patient when he suddenly espana looked up at community and share the real reason they do not speak. espana Heart patients can break through and make the experience espana a positive anti-expression, and professional talks when all staff are very happy, not just the patient finally spoke, more importantly, he is willing to express espana their true thoughts, and medical staff communication. Other in-one therapy also see patients espana toward the goal of treatment, such patients rarely able to speak logically express their ideas; do not know one note from the start of the patients to be able to independently play ( piano and guitar) songs, and can self-creation, performance; unable to control espana the ability of the patient to the last right hand can be used to write a few simple words; unable to accept that they are suffering from a mental illness can be willing to face their own problems.
After these patients and individuals get along, espana to be honest, in addition to drug therapy, the benefits of music therapy is indeed worthy of being a music therapist make us proud. So, I sincerely hope that more people can be put into this area to help adults with mental illness, so that music therapy is not just the media, but also to become patients espana after discharge continue to engage espana in leisure activities. Finally, espana let me share the idea of supervised practice time for students to work together with the international, hoping espana to make music therapy internship where students are applying for jobs or are preparing to music therapists were able to Judiciary and adults with mental illness espana There is not the same idea, so that this area can become a choice for the future of music therapy intern.
"My experience with international music therapy interns has been positive. The internship offers a great learning experience for the intern and also for the patients and the staff at the hospital. espana There is a wonderful exchange of cultural knowledge as we Americans learn about the countries from which the interns come and the interns learn about idioms and local dialects of the English language and how to understand a patient's delusional talk when it is difficult to understand English in the first place! Since our internship espana program began in 1988, Springfield Hospital Center has had music therapy i
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