Poker game for older adults

This music activity is a variation on poker that is probably best for groups of adults or geriatric patients. Of course, unlike the real game, there is no betting or cash prize at the end.

Materials needed for preparation:
Standard 52-card deck with the jokers removed
Permanent marker
Poster board
Velcro strips
Winning hands pdf

Prep-work:
1) On each playing card, write a song that is appropriate to your group of patients. It doesn't matter whether you prefer to write on the front or back of it, just don't write where the velcro strips are going to be attached.
2) Attach velcro strips to the center of the back of the card. When the card is stuck to the poster board, the number and suit of the card should face toward the patient. I prefer to attach the softer side of the velcro to the cards because the patients will be grabbing these and it is easier to the touch.
3) Draw a line down the center of the poster board and label the left side "Team A" and the right side "Team B."
4) Under each team side, attach five velcro pieces in a vertical line. Leave enough room for the height of a playing card between each strip. Remember that you are attaching whatever side of the velcro piece is OPPOSITE to that attached to the card. You should have 10 velcro pieces on your board altogether.
5) Attach the Winning Poker Hands pdf print-out to the back of the board as a reminder to you which hand wins. On the sheet, the possibilities are listed in rank order, with the highest hand (best combination) to the lowest hand (worst combination).

Materials needed in session:
Pre-made poster board
Pre-made playing cards
Bag/basket to place the cards in
Guitar
Sheet music, if necessary

Procedure:
1) Briefly explain the poker game. No need to get technical, just help them understand that each card a patient draws has a song printed on it that the whole group will sing.
2) Split the group into two teams. Decide which team goes first.
3) Offer a patient the bag full of cards. Instruct them to reach in and grab one without peeking.
4) Read the song printed on the card aloud. To increase cognitive functioning, have the patients guess the song or artist by offering clues.
5) Stick the song on the board under that team's name.
6) Sing the song printed on the card.
7) Next move to the second team. Repeat steps 3-6, alternating teams until all 10 velcro pieces on the board are filled.
8) Have a conversation about who won the game (refer to the Winning hands print-out). Discuss how the patients enjoyed the experience of playing this game.

This game is great for increasing cognitive functioning and social interaction. After each song, you might talk with the patients about past memories or song meanings.

New Activity! I Can Transform Ya

How do you entertain adolescents who have a preference for gangsta rap and selling weed?

Lately I've been volunteering at a secondary school here in Tallahassee. The students there all have IEPs with behavioral and emotional goals. Many of the students go to this school after being expelled from public school. Curse words fly, and students are often being marked with "disrespects." Some of the students have problems not only with school, but also at home and with the law.

More than anything, this population is one that needs extra attention. Of course, music therapy is a great way to teach proper self-expression and appropriate social interactions. But what do I do when I am clearly out of place in the classroom?

This activity worked very well with the students. Many of you may recognize the activity, the concept is not mine. However, the activity sheets I am providing a link to are ones that I created and you are welcome to use!

Both of these links will take you to Scribd.com, where you will find the
I Can Transform Ya task analysis &
I Can Transform Ya activity sheets

The video below is the song that I used for the group I mentioned above. Of course, it could be done with a wide range of populations. See the task analysis for more about that.



I want any activities I blog about to be useful and accessible to all MTs. If you have ANY QUESTIONS AT ALL regarding how to implement the activity, how to create music sheets of your own, problems using the sheets I provided, etc., please ask! I will be more than happy to help at any time, even if you send me an email or comment months after this post.

Friday Five: Video games & MT goals

Video games have gotten a bad rep. Are we losing our minds to the television screen and gory blood battles with friends? I don't know. Are America's butts getting big because we stare with mouths agape at overstimulating amounts of light and sound for hours on end? Maybe.

I really don't know how to answer these questions. But instead of focusing on these criticisms, I want to shine a new light on video games. Can the powers of a video game be used for good rather than evil?

Well, I would certainly say so! These days I play more video games than I ever did in my youth. I don't own a Wii, but the Adolescent Unit at BHC does! At BHC, the kids can earn points which can be spent playing video games (as well as other things like leaving the unit for meals, playing outside, etc.). But occasionally, we'll break out the Wii in MT session. Why? Just think of all the skills that can develop when playing a music-based video game: focus of attention (that's an important one), self-esteem (another biggie), appropriate socialization (sharing, good sportsmanship, team-building), cognitive stimulation and mental alertness, motor skills (fine and gross), and knowledge of music education. If you're thinking that your clients could benefit from some of these, consider the following music games:

1.Just Dance! My favorite! Players mirror the movement of a silhouette on the screen. Points are for accuracy of movement and timing. You'll be seeing a new version in stores October 12! There is a mode in the game where players are directed to start/stop dancing (think impulse control!).
2.Karaoke Revolution Players sing along to popular songs and are given points for accuracy of pitch. There are quite a few releases of this game in stores.
3.Wii Music Players can learn about various musical instruments. They can express creativity by creating a band and jamming together. They can also be tested cognitively in the Minigame mode.
4.Donkey Konga Tests rhythmic accuracy. There are a couple versions of this in stores. The game comes with a set of Wii conga drums!
5.Rock Band Doesn't everybody know about this game by now? Its cousin, Guitar Hero, is equally as popular. The game comes with Wii guitar, drum set, and microphone. Players battle for points by testing finger dexterity and rhythmic accuracy.

Yes, I am citing Wikipedia.

Visual aids in MT

Many of us have taken those personality tests at some point in our life that tells us how we learn best. Some people need to hear the information to absorb it, some need the information in visual form. The most difficult part of school is figuring out how to best study information so that it is stored long-term (or at least until the test is over).

This can be transferred to your own MT session. I find that it is so helpful to use visual aids, especially when the goal of my session is to teach coping skills, positive thinking, time management, etcetera. Having something concrete when teaching a rather abstract concept really helps to get a message across. Sometimes you just have to lay aside the music to be a therapist.

Today was a day for discussing goals, coping skills, and support. We sang songs and played instruments to begin with: "You've Got a Friend" by Carole King, "What a Wonderful World" by Louis Armstrong, and "Dreams" by the Cranberries. After these songs, the instruments and music sheets were put aside, and our real project began. The group worked together to create a mural, a "Garden of Life." Each person was told to complete one flower, one rock, and two or more seeds for the mural. Each piece had a special meaning:

The flower=goals
The rock=support
The seeds=coping skills

Goals
The song "Dreams" talks about how the singer's life is changing everyday. While these changes are often hard to accept, there is a lot to gain from them. We learn from change in our life, and so we grow. Because a healthy flower is always growing and reaching for the sky (ok, maybe not all flowers), the flowers we draw represent our goals; we always need a goal to reach and grow toward.

Support
"You've Got a Friend" talks about how there are people and things in our life that will "take your soul if you let them." You must nurture relationships with people or places that steer you in a healthy direction. Our rocks are strong and unable to be moved. They are always there in rain or shine. Who or what can you turn to in your own life through thick or thin? This may be a friend, family member, the hospital or shelter, a counselor, the church, or something else spiritual.

Coping Skills
In "What a Wonderful World," the singer is taking time to notice all the beautiful things that exist in our lives. A healthy coping skill is something that will lighten a burden and NOT add stress in your life. We need a lot of different coping skills to choose from when life gets bumpy. Seeds are plentiful, and they are necessary to nurture growth. A coping skill may be talking with a friend, playing music, exercising, etcetera.

Each patient drew on colorful paper a flower, rock, and seeds. They identified the three things mentioned above, and wrote them on their pictures. Then they cut and pasted onto the mural.

After the project, we hung the mural on the wall. I mentioned its importance not only in inspiring them during their stay at the BHC, but that the mural will inspire patients that come after them. One of the most powerful goals we had today was a patient who wanted to write: "I want to get better so that I don't try to kill myself or overdose again." She grew tearful, and I told her that this will really mean something to other patients going through similar thoughts. It was really touching for everyone to see that mural. Rather than simply talking about all these important concepts, we put it on paper as a visual aid. There is no avoiding it once it is all on paper. Like a contract, there is a paper that binds them to their words about getting better.

Group Songwriting

I've done a lot of song writing in the past couple of weeks. The patients absolutely loved creating something of their own and working together to do so.

In the songwriting example I am sharing with you, each patient had the opportunity to write one line on the topic of accepting change and moving on. For the patients who gave up easily and were self-defeating, I encouraged them to say anything. I assured them that the rest of the group would help the person decide on what the lyrics should say. For those who still insisted they could not do it, I asked them to name one thing they've learned during their stay about life changes. The rest of the group molded this into a single line of song lyric that fit with what already existed.

This is the beautiful song they came up with, sung to the tune of "Don't Worry, Be Happy."

After performing it once on guitar for the group, I let them build their own "musical interpretation" of the song using percussion instruments. They then switched instruments and played their song again.

To carry it one step further, our art therapist split them in pairs and had them draw their own interpretation of the lyrics. The patients in my group came up with great things to put down on paper.

This activity is awesome for working on self-concept, appropriate social skills, and group cohesion.

Three bears with a beat

I really love this activity! I first heard it from Darcy Walworth in our Music Therapy Lab class. It is perfect for young children. For each character in the rhyme, there is an action/sound/facial expression:

Papa bear: Hold hands up as though they are claws/"Rawrrrr," low-pitched growl/teeth bared, nose wrinkled, eyebrows furrowed.
Mama bear: Hold hands up with palms out, wiggle hands/"Ahhh!"High-pitched scream (not a real scream, please)/mouth open in surprise, eyes wide
Wee bear: Fold arms, shrug shoulders, hunch over/"Hmph," little-kid grunt/lip pout, eyebrows furrowed

At the request of the website owner, I will not copy/paste the rhyme here. However, here is the website. Pat knees in a moderate tempo. Each word with (parenthesis) is a downbeat.

Use this activity to work on emotions, facial affect, and listening skills.

Music Jeopardy

I'm in the process now of developing a Music Jeopardy game. In this game, you will divide your group into two teams. Have the teams select a name and decide who goes first. Each team will get a turn to choose a question based on the number of points it is worth. To find the answer, the team will work together. Like Jeopardy, 100 point questions are simpler than 500 point questions. The questions and points are as follows:

100 points...Name that tune
Much like music trivia, play a song from the iPod and have the team guess the song's title.

200 points...Artists that start with the letter _____
Name a letter. A=Aretha Franklin, Aerosmith, ABBA.

300 points...Song scramble
mi awglink no nusihens=I'm Walking On Sunshine

400 points...Fill in the blank
Fill in the missing word(s) in the song title. I Walk the___________=I Walk the Line

500 points...Song titles that include the word _____
Give a word found in some song titles. Have the team come up with a title that incorporates that word. "Stop"=Stop! In the Name Of Love, Don't Stop Believin'

Beach ball game

I am working on a session with one of my groups with the theme of "Beach Party." It being summer in Florida, it seemed only appropriate. One of the games I have planned is a game of catch with a goal of cognitive stimulation. To fit the beachy theme, I am playing catch with a beach ball. But really, you could toss a beanbag, a regular ball, etc.

Materials:
Beach ball
iPod/speakers (the song I chose for this activity was "Surfin USA" by the Beach Boys)

Procedure:
When music begins, clients will toss ball back and forth. When MT stops the music, the ball stops moving. The person left holding the ball when the music stops will be asked a question*.

*The question asked will depend on the functioning level of the patient and the goals you are working on in that group. The patients I will see tomorrow are generally low functioning adults. I may ask questions like, "What kind of things can you find at the beach?" or "Name another song that the Beach Boys sang." If I am working on self-concept with children, I might ask them to name one thing they like about themselves.

Around the world in 60 minutes

Today at the BHC I observed a great activity to increase cognitive stimulation and socialization. Read on for a little lesson in geography:

Materials:
iPod and speakers
Music from different countries
Maps of continents (optional)
Some knowledge of the region you are covering

Task Analysis:
1) Choose a continent to focus on and hand out maps if they are a available. When I did this, the activity used maps in a coloring book. Patients colored each country in a different color as they listened to music.
2) Begin at the northeastern-most country on the map. In the case of North America, it was Canada. Talk about some of that country's history and culture. Ask the clients what they know about that region.
3) Play popular music from artists that were born in that country. Alanis Morissette, Celine Dion, and Nickelback are all singers/groups from Canada.
4) Repeat steps 2 and 3 by continuing through the map.
5) Give your clients a brief verbal quiz to gain an idea of whether they improved in session.

Building a rainstorm in any group

To celebrate the approaching summer, incorporate a rainstorm activity in your music therapy session.

I've seen this used a lot with kids as a socialization activity, but that is only the tip of an iceberg of potential. Use this in large counseling groups to represent a "passing storm" of loss, depression, and anxiety. Use it to facilitate a healthy release of guilt, regret, and sorrow. Understand that in a counseling setting, this activity can become something very emotional and significant in moving past an unpleasant time.

However, on that note I must give some words of advice... (1) Take your time in building the rainstorm. When we stand in front of a group, it is easy to rush. Remind yourself to go slow. Give your group time to sit in the moment as they listen to their storm. The moment can be a very special one, but if you don't give your clients a chance to reflect on this, then you lose the therapeutic element.

(2) Because this activity is so adaptable, you must be mindful of age appropriateness. Don't assume that your adults will enjoy playing the thunder tube. Kids may make a rainstorm with small percussion instruments (ocean drums, thunder tubes, etc.), teens may make a storm with their bodies ("shhhh," rubbing hands together, patting thighs, etc.), and adults may use larger drums and various percussion instruments (bass drum as thunder, etc.). Consider your own group and decide what you can do to get the most positive response.

The video below can be an inspiration for your own session. In the first two minutes, the choir builds a rainstorm without any instruments at all. Since I came across this link, it has been bookmarked in Firefox. It is a performance that should not be forgotten because of its potential for use therapy.

Draw me a song

If you're stuck on ideas for a good activity for a large group, you may be closer than you think to the perfect session plan. It will require some creative thinking on your part, but consider adapting board games or party games to involve music. An example that I have used in my own practicum sessions is Music Pictionary.

Materials:
Whiteboard or chalkboard
Dry erase markers or chalk
Strips of paper with songs written on them
iPod with all songs

Task Analysis:
1. Split group into two teams. Have each team come up with a name (you may choose to give them a category for their name, e.g. desserts).
2. Choose a team to go first, then ask that team for a player to draw first.
3. Have the player choose a song by picking a strip of paper at random. Make sure all the songs you write down are appropriate to the group.
4. The player will go to the board and begin drawing as the team guesses the song (no talking allowed from the person drawing!). If you choose, time the round at about 60 seconds.
5. If the player's team guesses the song within the time allotted, that team receives a point. If the player's team cannot guess correctly within that time, the opposing team will be allowed one guess at the song. If they guess correctly at this point, that teams wins the point.
6. Play the song by iPod as you continue the game.
7. Repeat steps 3 through 6, alternating between teams.


Extensions & adaptations:
a) The team that guesses the song can also receive a point for guessing the artist. You may also choose to give points if your clients will tell you one interesting fact about that song (for example, "Stairway to Heaven" was the theme of their high school prom).

b) If it is not appropriate to your group, do not worry about creating teams and keeping points.

c) Other games that may be adapted similarly include Charades, Cranium, and Catch Phrase. All of these have different rules and materials that you will have to look into if you want to incorporate them into your session.

"New Soul" on handbells

Because you can never have too many activities (especially for that adolescent/'tween/teen age), I am posting an activity to get your group playing music together! For this activity, you should download a recording of Yael Naim's song (don't ask me to pronounce that), "New Soul." Also, you will need this document for use in your session.

Just a little info on the document I linked to above: page 1 shows all the colors that come in the handbell set made by Kidsplay and sold at West Music. Inside each colored circle is all the numbers that color should play. Pages 2 and 3 are the lyrics to "New Soul," with numbers written above (as guitar chords are often written).

Materials:
Handbells (diatonic set of 8 in the key of C)
"Music" for clients (print document available above)
iPod/CD with "New Soul" mp3 (or other item able to play song of choice)
Equipment to play the iPod/CD
Shakers or other small instruments (optional)

Task Analysis:
1. Give bells to clients, assign them a number(s) that corresponds to their handbell's color (see document, page 1).
2. Provide clients with "music" (see document, pages 2 and 3). Instruct them to play when they see their number(s). Some clients will be playing when they see two or three different numbers. For example, the red bell rings when they see the number 1, 2, or 3 in the music.
3. Begin music, prompt clients to play by holding up fingers when it is their turn.
4. Encourage clients to sing along with the music.

Extensions & Adaptations
a) If you ever needed a song in the key of C, this is the one. It is easily transferred to other instruments.

b) If your group is too small to cover all handbell parts, give some clients two handbells to play. If your group is too large, bring shakers for the other clients. Remember to take turns playing the handbells.

Hi! My Name Is.

In the past couple years gaining field experience through FSU, I have found that one of the biggest headaches comes from trying to invent an intervention appropriate for children ages 9 to 17. The middle school and high school age is a time when kids are overly concerned with what their peers are doing. And if their friends don't like it, chances are they don't (or pretend they don't) either. So you had better hope that your activity is "cool," with good music to boot.

This is a drumming activity that I picked up from a classmate, Shannon Kiley, in a MT drumming class. It utilizes a song by rapper Eminem from 1999, "My Name Is." This activity is a great socialization song, especially for introducing new groups.

Materials:
Large drums for each child (tubanos, djembes, etc.)

1. Before group comes into room, have chairs set up in a circle with drums in front of each seat.
2. As kids come in, have them sit quietly at a drum while you give instructions.
3. In a simple 4/4 pattern, model hitting the drum on 1, hands off on 2, hit on 3, hands off on 4 at a moderate tempo. Encourage the kids to join.
4. When kids have the rhythm steady, chant: "Hi! My name is. What! My name is. Who! My name is."
5. When both rhythm and chant is steady, repeat chant using your own name: "Hi! My name is. What! My name is. Who! My name is ________________________." This chant fits into two total measures. (Listen to the actual song to hear its rhythm.)
6. Continue around the circle until everyone has introduced themselves.

This activity can be extended a couple ways.
a) In the actual song, Eminem scratches his name (a DJ technique). Each child will simulate this by playing with his or her name. For example, I "scratched" my own name to sound like Mi-chelly-chelle. Another example for someone named Jessie might be "Jigga-jigga-Jessie." Repeat the activity using the scratch names.

b) Have the first person start by just saying his or her scratch name repeatedly (without the chant this time). Build this by having each person chant their scratch name one by one. You can even opt to fade the drums altogether, so that everyone is simply chanting their name at once.