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Music
Therapy and Autism
In the Special Education Setting-
www.cbmt.org
Defining
Music Therapy
Due
to its unique characteristics when compared with spoken language
or the visual modality, music is an effective tool to mediate change
in non-musical functioning for certain individuals. Research supports
parallels between speech/singing, rhythm/motor behavior, memory
for song/memory for academic material, and overall ability of preferred
music to enhance mood, attention, and behavior to optimize the student's
ability to learn and interact. Music therapists receive specialized
training to address these areas by completing a baccalaureate or
advanced degree program in music therapy in addition to national
board certification.
Within
a music therapy session, a targeted task relating to an IEP goal
(e.g., counting to 10, learning prepositions, following a 2-step
direction, taking turns, or describing an object) is presented through
song or rhythmic cueing. The focus of sessions is first to provide
the student with an assist through musical cueing followed by fading
of music to aid in transfer to the non-music setting.
Link
Between Autism and Music
Research
documents that students with autism often exhibit a high level of
preference for the music modality and show little deficit in processing
musical components although they may have processing difficulties
in non-musical areas. Many individuals with autism demonstrate a
highly accurate memory for song lyrics, increased initiation of
singing compared with speaking, and significant increases in attention,
motivation, and emotional engagement during music activities.
Music
Therapy as a Related Service
Before
referring a student for an evaluation, the IEP team first considers
whether the student has demonstrated enhanced responses to music
and is also in need of supplemental assistance due to insufficient
progress or severity of needs. If this is the case, a direct evaluation
is then conducted to determine if the student's performance is significantly
improved on IEP-related tasks when musical cueing is used. Because
music therapy is an "overlap" service, it is not considered
necessary if the student can achieve similar levels of success through
services already being offered. If the student does qualify, services
are provided by a credentialed music therapist on a direct or consult
basis.
For
additional questions or criteria sheet for school evaluations, please
contact Michelle Lazar, MT-BC, Director of Coast Music Therapy and
Consulting at (858) 453-5211
Coast
Music Therapy: Revised 3/01
Rationale
For Music Therapy Interventions
Cognitive
/ Academic
Songs
act as a "mnemonic" device to aid in memory of new or
difficult academic concepts by organizing information into smaller
chunks making it easier to encode and retain. Musical presentation
also provides an optimal learning environment for those students
who are highly attentive to music activities but are often distractible
with other modalities. Educational research supports that our ability
to learn and later use new concepts and information is best when
we are motivated and the material presented is meaningful to us.
Communication
/ Social Interaction
Because
singing and speech share many similarities, yet are accessed differently
by the brain, music strategies can be used as a rehabilitative approach
to functional communication. Language skills such as asking and
answering questions, maintaining a conversation, and using new vocabulary
are embedded in song lyrics that the student is encouraged to sing
during sessions followed by fading of music to spoken language.
In
small groups, musical instruments and interactive songs are presented
to address turn-taking, cooperative interaction, and other social
skills including learning and role playing "social stories."
Individualized tapes are often made for additional home practice
of skills.
Motor
Abilities
Research
is highly conclusive in supporting rhythm as an external timekeeper
for movement. Due to the nature of educational motor goals (e.g.,
handwriting, cutting, using playground equipment, etc.), music therapy
is most often recommended as a direct intervention for students
with severe orthopedic impairments, or basic goals such as imitating
movement. In these cases, musical instruments are used with song
cueing to target various grasps, improve coordination, and increase
duration of participation. For higher functioning students, the
music therapist can offer consult to the adapted physical education
provider, occupational therapist, or physical therapist if needed.
Behavior
/ Sensory Concerns
These
areas are frequently addressed through consult if it is shown that
music is one of the key motivators for a particular student. Activities
are designed to use music as a reward, contingency, transition aid,
or to calm the student.
For
additional questions or criteria sheet for school evaluations, please
contact Michelle Lazar, MT-BC, Director of Coast Music Therapy and
Consulting at (858) 453-5211
Coast
Music Therapy: Revised 3/01
Disclaimer
Autism
is a complex disorder. The information presented here is, of necessity,
general in nature. Please consult with a qualified professional
concerning your specific questions. The opinions expressed herein
are those of the individual authors.
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