Ep 37 Irene Lo Coco and Elizabeth Nightingale from Chiltern Music Therapy

Irene Lo Coco and Elizabeth Nightingale from Chiltern Music Therapy talked to Luke about remote working in music therapy, including technical and online resources, as well as issues that may arise through these ways of working may bring up. After qualifying as a music therapist, Elizabeth gained clinical experience with adults with neurological disorders and worked with children with a range of needs including developmental delay, behavioural difficulties, and trauma. She later trained as a Neurologic Music Therapist and MATADOC assessor and continues to acquire specialist experience in brain injury and neurodisability through providing NMT and MATADOC assessments for medico-legal cases. She has had her work and research published in the Brain & Spinal Injury Handbook, Journal of Dementia Care, and the British Journal of Music Therapy. She holds the role of Neuro Music Therapy Services Manager for Chiltern. Irene qualified as a Music Therapist in 2007 and has specialized in Neurologic Music Therapy. Her clinical experience includes brain injury neuro-rehabilitation as well as working with children, adolescents and adults with learning disabilities, ASD, behavioural difficulties and complex medical needs. She has also worked in maternity care and adult mental health, among a variety of settings in the UK and abroad. Irene has a passion for evidence-based research and a background and personal interest in neuropsychology and psychodynamic approaches. Her practice, therefore, has a broad vision and the resources to adapt to clients' needs. Irene holds the role of Neurologic Music Therapist and Music Technology Lead at Chiltern Music Therapy.  Resources ETHICS/GDPR CONCERNS BAMT Support and guidance documentation for COVID-19 (regularly updated) https://www.bamt.org/about-british-association-for-music-therapy/covid-19-useful-information.html HCPC Includes info on standards of ethics for remote working and remote consultations as well as safeguards for patients https://www.hcpc-uk.org/standards/standards-relevant-to-education-and-training/standards-for-prescribing/high-level-principles/ ONLINE PLATFORMS Zoom Technical support: getting started on Zoom https://support.zoom.us/hc/en-us/categories/200101697 Adjusting audio or video settings in Zoom https://support.zoom.us/hc/en-us/articles/201362623-Changing-settings-in-the-desktop-client-or-%20mobile-app Using ‘original sound’ (ie. ‘Music Mode’) in Zoom and other handy hints https://www.youtube.com/watch?v=50NoWIiYECA Security guidelines collated by Ray Travasso from Suffolk Music Therapy: https://docs.google.com/document/d/1jJB4wqWUEen76pcediQlbHrSa0PokDU5IL72kozJILA/edit?usp=sharing Further info on Zoom and also Doxy.me (courtesy of Martin Lawes) https://docs.google.com/document/d/1oS9xqKmJA9XiA9whAX4Fw9hImMBLxVJBYaOXOe3ItwY/edit?usp=sharing Skype Technical support: getting started on Skype https://support.skype.com/en/faq/FA11098/how-do-i-get-started-with-skype Advice and considerations as shared by BAMT (courtesy of Chroma) https://docs.google.com/document/d/1NVKyNWlnQO9QvGQQrRNZvJnvPvmFWIYdYVsmEpSNZUM/edit?usp=sharing Download the ‘PDF Skype - info from the Association for Counselling and Therapy Online (ACTO)(BAMT shared)’ from https://www.bamt.org/about-british-association-for-music-therapy/covid-19-useful-information.html Google Hangouts Tutorial Guide pdf https://www.austincc.edu/ITdocs/google/documents/Google_Hangouts_Tutorial.pdf INTERNET SPEED Confirm your internet speed here (important for identifying suitability for live streaming) https://www.speedtest.net/ Info on suitable bandwidth for video conferencing: https://conferenceroomsystems.freshdesk.com/support/solutions/articles/5000641283-what-is-the-ideal-bandwidth-for-video-conferencing- STORAGE Google Drive vs DropBox for storing and sharing pre-recorded videos: https://conferenceroomsystems.freshdesk.com/support/solutions/articles/5000641283-what-is-the-ideal-bandwidth-for-video-conferencing- ONLINE RESOURCES Collaborative songwriting: you can create lyrics and add chords with other people remotely, among using other features available on https://songcraft.io/ Demo video here: https://www.youtube.com/watch?v=ZyQ7OUOMImw&feature=youtu.be MAKING MUSIC have compiled a useful list of links for making music in groups https://www.makingmusic.org.uk/resource/covid-19-staying-connected   Also in BAMT guidance document Apps and other online resources (with particular thanks to Irene LoCoco and Liz Coombes) KORG has made the iKaossilator free for a limited time: Website | App Store | Google Play Moog has made the Minimoog Model D Synthesiser free for a limited time: App Store | currently not available on Android BandLab: Website | App Store | Google Play Fingertip Maestro: App Store | currently not available on Android NodeBeat: Website | App Store | Google Play SoundForest: App Store | currently not available on Android Blocs Wave: Website | App Store | Android Bloom (paid): App Store | Google Play ARTICLES Aaron Jeffrey Lightstone, S. Kathleen Bailey & Peter Voros (2015) Collaborative music therapy via remote video technology to reduce a veteran's symptoms of severe, chronic PTSD, Arts & Health, 7:2, 123-136, DOI: 10.1080/17533015.2015.1019895 Baker, Felicity and Krout, Robert (2009) Songwriting via Skype An online music therapy intervention to enhance social skills in an adolescent diagnosed with Asperger's Syndrome, British Journal of Music Therapy Volume 23, No 2 Fuller, A.M., & McLeod, R.G. (2019) The Connected Music Therapy Teleintervention Approach (CoMTTA) and its application to family-centred programs for young children with hearing loss, Australian Journal of Music Therapy Vol 30 App Name Description Client Group Associated MT Clinical Goals Useful tips Compatibility Fingertip Maestro Intuitive piano or  guitar, with visual stimuli     It has proven effective with the elderly, clients with dementia or brain injury. The colourful screen and its simplicity encourages quick engagement and good support for musical interaction between therapist and client Awareness of cause and effect / Sustained attention   You can record the creation and share with client’s family   Each colour square plays a note, play a few together for a chord, or swipe for melodies. Use the scroll bar for more notes.   Requires iOS 6.1 or later. Compatible with iPhone, iPad, and iPod touch.   AirHarp Bongos Guitar Tabla (among many  more)     Virtual instruments All Finger dexterity / Social interaction /  Self-expression   Therapist can change the instruments key. In Guitar screen can be rotated for L/R hand use.   Singing Fingers   Fingerpaint with sound. Make a sound while moving your finger to record a sound-drawing. Touch the drawing you just made to play the sound back   Paediatric   Hand-eye coordinatinon / Multisensory stimulation / visual tracking / finger dexterity   To play the sounds back out its better to spread the recording across the screen instead of holding the finger still   Requires iOS 10.0 or later. Compatible with iPhone, iPad and iPod touch.   Sound Forest Music making app with attractive visuals that allows you to compose animated songs. Paediatric, Young adults, Brain Injury This app has proven useful to work on executive functions such as Choice making / organization and planning / attention skills   Requires iOS 7.0 or later. Compatible with iPhone, iPad, and iPod touch   Jam Looper Featuring smart automatic looping, multiple tracks, volume control and track effects.   All Voice awareness, interactive music making, cause and effect   Use headphones to avoid echo during recording. You can add effects to each loop. Requires iOS 10.0 or later. Compatible with iPhone, iPad, and iPod touch.   Bloom Part instrument, part composition and part artwork, Bloom's innovative controls allow anyone to create elaborate patterns and unique melodies by simply tapping the screen.   Paediatric / PMLD / BI   cause and effect / specified localized movement / increase attention / multisensory stimulation / turn taking   Shake screen to clear. Adjust delay to give time for multiple activations from clients   You can choose from LISTEN or CREATE options   You can link to Skoog for joint music making   You can customize mood, mode, timer, delay of touch, among other settings. Requires iOS 11.0 or later. Compatible with iPhone, iPad and iPod touch   Cove Expression of emotions through music   Mental Health   Relaxation / mood awareness   Interest use is to create a new track each session with client, and then listen to the musical journey after a given time. Or at the beginning and end of session. Requires iOS 9.0 or later. Compatible with iPhone, iPad and iPod touch.   FingerBeat Sampler, drum-machine & field recorder   Teenagers and adults   cause and effect / sustained attention / organisation and planning / choice making   Import/export feature to icloud/email/itunes   Requires iOS 7.1 or later. Compatible with iPhone, iPad and iPod touch.   Musyc Touch turns into music. Draw shapes and listen to your piece of music while viewing sounds bouncing on the screen BI / Paediatric / Teenagers and Adults / Older Adults   visual tracking / EF     Requires iOS 9.1 or later.   Endless Multiplayer music making app All Collaborative music making     Songcraft Collaborative real-time song-writing platform All Collaborative music making Write lyrics, chords, or tabs from any device. Record or upload your audio files and organize your songs into collections