European Music in Healthcare Settings Training Programme 2008 – 2010



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European Music in Healthcare Settings Training Programme

2008 – 2010


Music Network Report





Contents





European Music in Healthcare Settings Training Programme 1

2008 – 2010 1

Music Network Report 1

Contents 2

Introduction: 3

Music Network and Music in Healthcare 4

Project Partners 4

Royal Northern College of Music (RNCM), Manchester, UK 5

The Musical Academy in Cracow, Poland 5

Project Aims & Objectives 5

Project Structure 6

Year One (October 2008 – September 2009) 6

Year Two (October 2009 – September 2010) 7

The Irish Trainees 8

Recruitment 8

Local Key Stakeholder: St James’s Hospital, Dublin 9

Budget & Administration 11

Outcomes 11

Appendix A 12

Appendix B 13



Appendix C 14


Introduction:


In late 2007, Music Network was invited by Musique et Santé to attend a conference in Paris aimed at organisations from all over Europe with an interest in Music and Health. Elaine Agnew, Artistic Advisor to Music Network’s Continuing Professional Development Programme represented Music Network at this conference which took place in Paris from 10 - 14 December, 2007. Elaine recommended that Music Network join with Musique et Santé; the Royal Northern College of Music, Manchester; the Academy of Music, Krakow and MATCA 2000, Romania to apply to the Leonardo da Vinci – Lifelong Learning Partnership Fund of the European Union for support to develop a European Music in Healthcare Settings Training Programme.
In early 2008, the application was lodged with each of the partner national agencies and in Summer 2008, the partners were notified that the application had been successful, albeit without MATCA 2000. The project went ahead with the four remaining partners and over the following two years the aims and objectives described in the application were achieved and longterm cooperative relationships were formed.
The project presented an ideal opportunity for Music Network to further develop its ongoing work in providing professional Irish musicians with appropriate skills, materials and resources for effective work in healthcare settings in Ireland. The opportunity to further develop this work in a European context provided an excellent framework to share the work undertaken to date in Ireland with our European partners and to learn more form their experiences.
The outcome from this Project is that there are 4 Irish musicians, working in a range of healthcare and community contexts, with a unique range of skills and experiences that they are utilising the benefit of clients and patients in a range of healthcare settings throughout Ireland. A further benefit to Music Network has been the opportunity to access these skills and experiences in enhancing the quality of the music in healthcare aspects of Music Network’s Continuing Professional Development Training Programme.
A worthy and worthwhile undertaking, this project presented an opportunity to develop and new, fruitful relationship with one of Ireland’s leading university hospitals, St James’s Hospital and finally, a compact, yet powerful opportunity to address Music Network’s core remit to bring high quality live music to people regardless of their geographical location or circumstance while developing the careers of Irish and international musicians.

Music Network and Music in Healthcare


Music Network was established by the Arts Council in 1986 to make high quality live classical, jazz and traditional Irish music accessible to everyone in Ireland regardless of their geographic location or social circumstance while supporting the career development of professional musicians.
Music Network’s first experience of working in a healthcare context was the management of a once-off concert series entitled Concerts in Healthcare Environments in 1998. Concerts took place in 22 healthcare settings in various parts of Ireland, involving professional classical, Irish traditional and jazz musicians. Initially, the motivation was to reach out to more people with live music performances. If people in hospitals and care settings were not in a position to attend concerts, then the music should to come to them – a concept that sat comfortably with Music Network’s remit and ethos.
As a result, in 2000, the key policy makers in the Midland regional Health Board (now part of the Health Service Executive (HSE) Dublin/Mid-Leinster region) and Music Network began to implement a pilot research programme involving a chosen client group: older people in residential and day-care settings. This new programme moved deliberately away from a concert-based format to a model that actively involved clients and members of care staff as participants and instigators in the creative process. Entitled Music in Healthcare, it ran as a 5-year pilot programme in the Midlands between 2000 and 2004. A total of nine residential and day-care centres throughout the region were involved, and the programme directly benefited approximately 400 people during that period.
The approach explored in this programme was never termed or determined as “music therapy” and never aspired to achieve clinical objectives or outcomes, despite the fact that some therapeutic outcomes may have emerged.
At key stages during the 5-year initiative, evaluation reports were produced, to inform the future development of the programme, taking into account direct feedback from clients, centre staff and management, musicians and the organising partners. This culminated in a final, overall evaluation report, commissioned from an independent Arts Consultant, and completed early in 2005. While there were a number of very positive outcomes for the clients, health and care staff as well as the musicians involved in the there project, there were also two key recommendations that emerged from the final evaluation report:

    1. the development of a regionally-managed, sustainable Musician(s)-in-Residence scheme in the Midlands to facilitate the strategic planning and implementation of a flexible, high quality music programme to cater for the diverse needs of older people in residential and day-care settings

    2. the development of a flexible pool of skilled and experienced musicians combining artistic quality with collaborative music skills, who can feed into the Musician(s)-in-Residence scheme in the midlands, at the same time developing as a national Music in Healthcare resource

On foot of the second recommendation, in 2006 Music Network developed a new, formalised Professional Development programme for musicians working in healthcare, as well as education and community-based contexts and has sought to expand this work.


More recently, during Cork’s tenure as European Capital of Culture in 2005, Music Network was commissioned to develop and manage a new Music in Healthcare - Mental Health programme in two facilities in Cork. The project structure was developed in close consultation with centre management and staff, and again consisted of a programme of participative music workshops taking place in two modules during the year. The outcomes emerging from the Cork programme in mental health settings were broadly consistent with those from the Midlands programme with older people. These included a range of positive personal, social and interpersonal, and artistic outcomes for the clients, staff and musicians. In response to the overall success of the Cork 2005 Culture and Health strand, the HSE Southern Region appointed an Arts and Health Programme Co-ordinator.

Project Partners


The project partners involved in the European Music in Healthcare Setting Training Programme were:
Musique et Santé, France

Musique et Santé is the only dedicated music and health organisation in Europe and has extensive experience in carrying out live musical actions in healthcare settings and in training musicians to work in healthcare environments. Their approach is neither therapeutic nor simply entertainment, but that of improving communication, engagement and well being in hospitals. Musique et Santé engage hospitalised and disabled persons both one to one and in groups through live music and singing whatever their age, origin, language, social backgrounds. Its expertise is recognised by its national and European partners. The hospitals visited during the second training week in Paris were: Robert Debré Hospital and Institut Gustave Roussy. The healthcare areas addressed were: neonatology, pedo-oncology and paediatrics.



Royal Northern College of Music (RNCM), Manchester, UK


The RNCM is the only conservatoire within the UK to have been awarded status as a centre for Excellence inTeaching and Learning. Their Professional Development Department has undertaken ongoing work with Musique & Santé to develop a ‘Music for Health’ Learning Programme within the UK. The training took place at the Royal Manchester Children’s Hospital and the healthcare area addressed was paediatrics.

The Musical Academy in Cracow, Poland


The Academy has 3 Departments: Dept. of Creativity, Interpretation and Musical Education; Instrumental Dept. and Vocal Dept. and realises graduate, postgraduate and doctoral studies. The Academy has many international contacts and educates students from Poland, other European countries and also from countries out of Europe (principally from Asia). In 2004, at the Department of Creativity, Interpretation and Musical Education established Postgraduate Studies in Music Therapy. The hospital where the training took place was the Boni Fratres Hospital, Cracow and the healthcare areas addressed were cardiology, amputee and intensive care.

Project Aims & Objectives


All of the partners wished to be involved in a European cooperation in order to exchange ideas and good practice through an intercultural dialogue and to be able to set up a European training path together in order to offer their learners the opportunity to acquire competences in a new field and in an enriching transnational context.
The main aim of the project was to work together to develop and establish a framework for a European Music in Healthcare Settings Training Programme.
The key objectives were:

  • Identify the skills and competences required of the musicians for this work

  • Develop and evaluate a pilot European Music in Healthcare Settings Training Programme across the partner countries

  • Explore the potential for certification/accreditation of the training

  • Embed the training within each partner organisation

The programme had the additional benefits of:



  • Transferring new competences to musicians in a European context

  • Intercultural and interdisciplinary collaborations

  • Humanising the hospital environment for patients, visitors and staff

We wished to address the following issues:



  • Increasing the employability and mobility of musicians

  • The transfer of specific competences within a European context

  • Bring live music to a marginalized audience

We wished to achieve these objectives through:



  • Meetings of the participating organisation managers

  • Meetings with the local hospitals and rehabilitation centres offering placement and work opportunities for the Trainees

  • Open seminars to sensitise local stakeholders

  • Implementation and evaluation of a pilot European Training path which will include practical work in the healthcare settings associated with the project.

Project Structure


The project structure was proposed by Musique et Santé and divided the project between a series of preparation meetings to be hosted by each project partner and originally to be attended by representatives of Musique et Santé and the RNCM only. However, following the first project meeting in December 2008, it was decided that all managers would travel to and attend each of these meetings in order to ensure that the partnerships were developed and that each manager had an opportunity to introduce the environments in which the training would take place, to meet each of the Trainees and to meet the relevant key stakeholders in order to assist the local partner in validating their proposed work.

Year One (October 2008 – September 2009)


Manager Meeting 1 Paris 1 – 3 December, 2008

Manager Meeting 2 Manchester 11 – 13 February, 2009

Manager Meeting 3 Dublin 18 – 20 March, 2009

Manager Meeting 4 Krakow 14 – 17 April, 2009


The first year of the Programme was dedicated to:

  • establishing the framework for the training programme

  • engaging and developing the relationships between each of the project partners

  • recruitment of Trainees

  • developing local key stakeholder relationships

  • all relevant administrative preparations

These tasks were achieved over a series of four meetings, attended by each of the project managers and hosted by each of the project partners in turn. These meetings gave each manager an opportunity to establish a rapport with each of the Trainees, to experience the different healthcare situations of the four partner countries and to appreciate the context in which each training week would take place.


In Paris, there are long-established links between Musique et Santé and the hospitals and so music is considered a matter of course. In Manchester, the RNCM have been working for a number of years to establish a relationship with the Royal Manchester Children’s Hospital and visiting managers had the opportunity to go onto the wards with musicians from the RNCM to experience their work there. In Dublin, the relationship between St James’s Hospital and Music Network was generated around this project and so it was at an early stage and in Krakow, while the hospital Director was very supportive of the Programme, there was obvious scepticism from other staff that would need to be addressed over the course of the Programme.
These meetings also addressed issues such as:

  • Agreed criteria for the recruitment of Trainees

  • Reflection and evaluation processes

  • Flight and local accommodation requirements

  • Insurances

  • Per diems

  • Agreement on healthcare areas to be addressed (e.g. paediatrics, geriatrics, oncology etc.)

  • Meeting the conditions of our funding arrangements



Year Two (October 2009 – September 2010)


The structure of the training programme was:

Week 1 (Manager meeting 22 October) 19 – 22 October, 2009 Paris

Week 2 (Manager meeting 18 December) 14 – 18 December, 2009 Manchester

Week 3 (Manager meeting 12 February) 8 – 12 February, 2010 Dublin

Week 4 (Manager meeting 26 March) 22 –26 March, 2010 Krakow

Week 5 (Manager meeting 21 May) 17 – 21 May, 2010 Paris


Concluding Managers’ meeting 3 – 4 June, 2010 Manchester
The second year of the Programme was devoted to the rollout of the five training weeks and the evaluation and reporting of the project. Each training week was delivered in a similar format and consisted of a series of preparatory workshops, on-site sessions in wards and treatment rooms at the hospitals and debrief sessions in which the Trainees were actively encouraged to discuss their experiences with their peers and the Trainers.1 The Trainers could offer instant critique on the work of the Trainees in order to assist them to improve their approach and confidence on each hospital session. Each training week then concluded with a large debrief session attended by the Trainees, the Trainers and the Project Managers. These sessions allowed for candid reflection, evaluation and recommendations for upcoming training weeks that could be addressed immediately by the Project Managers.
An example of this was during the first training week in Paris, the Trainees were all accommodated in separate hotels, some very close to the Musique et Santé offices and others some distance away. During the evaluation session, a number of the Trainees identified this as an obstacle to their developing relationships within the group and would prefer to be accommodated together and also to have a space where they could ‘jam’ and get to know each other personally and musically between training sessions. This feedback was immediately taken on board. The second training week was scheduled for Manchester and the RNCM Project Manager was in a position to immediately respond to this feedback, reassure the Trainees that they would all be accommodated together in Manchester and that she would secure a suitable space, communal space during their week in Manchester. This feedback was also subsequently adhered to in each of the training weeks in Dublin and Krakow.2 The Trainees appreciated this response and they immediately felt that the evaluation sessions were not just a procedure but also a vital opportunity for the Project Managers to ensure the success of the project.
Following each of these evaluation meetings, the Managers would then meet with the Trainers to seek their feedback on the training week and identify areas of concern or concentration for the following training week. The host of the upcoming training week had an opportunity to update the Project Managers on progress at local level and flag any issues that may need to be addressed and seek advice or support on dealing with any difficult issues at local level.
The final Managers’ meeting in June 2010 focused on the evaluation of the project as a whole and intense work on satisfying Part A of the Report Form that had been supplied to us. Following this meeting , a draft of Part A was circulated to the Project Partners, leaving each partner with ample time to complete Part B before the submission deadline of 30th September. Unfortunately, the format of the Final Report Form changed significantly in the weeks before the submission deadline and further work was undertaken by each of the Project Partners to ensure that the consensus still required in response to Part A was intact. Given that the work had already been completed by the Project Partners, it was both frustrating and disappointing that this work had to be undertaken a second time. However, the efficiency with which this was achieved is a testament to the strength of the partnerships that had developed between the Project Partners.

The Irish Trainees

Recruitment


Music Network issued a comprehensive call for applications from professional Irish musicians to participate in this programme in January 2009.3 The criteria for qualification for this course were:
Essential criteria:

• instrumental ability (accompanying, instrumental play); suitable instrument for a healthcare environment and easily portable (e.g. flute, violin, accordion, bodhrán, pipes etc) and/or vocal ability (knowledge and usage of children and older people’s repertoire, vocal improvisation)

• creative ability (improvisation on given rhythms, tones, listening & creative response to groups/individuals)

• communication skills

• interpersonal skills

• desire to learn



Desirable criteria:

• previous musical experience in healthcare settings



• possible experience at mentoring
41 applications were received and after a short-listing process, 11 musicians were interviewed for the 4 available places. The members of the interview panel were: Deirdre McCrea, CEO, Music Network; Elaine Agnew, Artistic Advisor, Music Network’s Continuing Professional Development Programme and Aisling Roche, Development Programmes Manager, Music Network.
From the 11 musicians that were interviewed, 4 musicians were selected. Given that the Training weeks would not begin training for another 9 months, a further 2 musicians were placed on ‘standby’ should any of the first 4 withdraw in the interim. The four chosen musicians were:

Aingeala de Búrca (violin)


Aingeala De Búrca is a highly sought after, professional freelance violinist, specialising in baroque performance. She has also performed with high profile Irish ensembles In Tua Nua and Anúna. Aingela is also a noted music facilitator in educational, community music and healthcare settings with great success.  In 2008, she qualified as a teacher of the Interactive Teaching Method (ITM) for the teaching of the F M Alexander Technique.
Aingeala was also one of the musicians who participated in Music Network’s Music in Healthcare Programmes in the midlands and the Cork 2005 Music in Mental Health project. She felt that ‘it was very relevant and important to be trained in a European context for many reasons. The first and most obvious of the reasons is the increasing changes in our societies in recent years. Lots of people are moving about these days, so much so, in fact, that even if we stay at home, we can find ourselves living amongst people of many different countries and cultures. As a result, to serve the whole of our changing communities, we need to be more open and flexible, more adaptable, and accepting of different points of view. Working on a programme like this was a very good way to provide us with the opportunity to hear about other perspectives, especially those shaped by different cultures.’

Liam Merriman (voice/guitar)


Liam Merriman is a Waterford based folk performer / songwriter. He strongly believes in the power and potential therapeutic value of music and he has been involved in the emerging field of music in health for the last number of years working with Waterford Healing Arts Trust at Waterford Regional Hospital. Liam said of the Training Programme that he can ‘confidently and sincerely state that I am richer for the experience of participating in this European Training Project. The kind of riches that I have accumulated over the five weeks, in the four host countries, will be shared with many people in the future as I pursue my work in hospitals in Ireland’.
Liam is continuing his work with the Waterford Healing Arts Trust and has ambitions to expand this work into the neonatology unit of Waterford Regional Hospital. If he succeeds, the WRH will be the first hospital in Ireland to embrace musicians in this most sensitive of healthcare settings.

Joe Philpott (guitar)


Former guitarist with Cork supergroup, Rubyhorse, Joe is most comfortable on electric guitar. He had observed the potential of music to assist children and young people to express themselves and the reaction of older people recuperating in a nursing home when he brought his guitar along to entertain his own grandmother while she was convalescing. He observed the enthusiasm of the patients and the palpable change in the atmosphere of the ward when he had been playing. These experiences fuelled a desire in Joe to explore the concept of music in healthcare. Joe’s experience was one of a long personal and professional journey: ‘If we weren’t brought to Paris we would never have had the advantage of seeing the benefits of a 20 year partnership between music et santé and the hospitals. What we saw and learned is vital to take back to our own countries. Each situation tested our abilities to adapt in diverse and challenging situations most of which were out of our comfort zones. Having to work on repertoire and broaden our musical libraries was a valuable lesson. The variety of cross cultural approaches to each scenario and their ability to recount what they had experienced in our debriefings was very interesting and contained many nuggets of information that will be priceless going forward. If we had stayed and worked entirely in Ireland the scope and value of what we learned would have diminished significantly.’
Joe is concentrating his energies on working with children and young people from disadvantaged areas of Cork city.

Finn MacGinty (voice/guitar)


Finn is a folk musician and voiceover artist. Originally from Westmeath, Finn has spent most of the past 30 years living and working in Japan and the US. Recently returned to Ireland, Finn has been performing solo and with folk groups around the country. During his time in the US, Finn became involved with a young man with an acquired brain injury and when Finn discovered that music had once been a huge part of this young man’s life before his injury, he set about assisting him to regain his musical ability. Finn’s experience was an intensely personal one but it prompted him to consider the place of music in healthcare. In 2007, Finn was accepted onto Music Network’s Continuing Professional Development Programme and developed his skills in community music making, in particular in the area of music in health. Finn said of the Programme that ‘I am now much more confident in describing what I do and also more open to the possibilities. I trust that by staying open to the possibilities and observing reactions, I will find a way to connect with the individual or group I’m working with. It’s not easy to keep remembering that it’s “not about you” and to act accordingly. In fact if we can bring this idea into our everyday lives the world would be a much better place. I feel that our job is to make the world a better place for even a short time for those with whom we are engaging.’
Finn has been working along with Aingeala de Búrca in developing an ongoing music programme at the National Rehabilitation Unit, Dun Laoghaire in association with the National Concert Hall.

Local Key Stakeholder: St James’s Hospital, Dublin


In preparation for the first Project Managers’ meeting in December 2008, Music Network issued an email to hospitals in the Dublin area seeking expressions of interest in hosting the Dublin training week in February 2010. Sheila Grace, Arts Director of St. James’s Hospital responded enthusiastically to the proposal and following the first Managers’ meeting, Music Network met with Sheila to explore the proposal further.
At that meeting, the ongoing concerts series on community music interventions in the Department of Medicine for the Elderly were considered and how this programme might complement this existing activity but also capitalise on the opportunity to bring music to areas of the hospital where live music would not have been experienced. Haematology Oncology Treatment Rooms were identified as an area of the hospital where live music had not yet been experienced.
Sheila went about approaching the appropriate key individuals within the relevant departments to discuss this opportunity and to see their support of the project. Sheila and I met a number of times over the following months to update one another on progress within St. James’s and progress in the project overall.
In March 2009, the Managers representing each of the four partner organisations met with key medical and healthcare staff at St. James’s to discuss the proposition further, to address any concerns or queries that they may have an also to take the opportunity for the Managers to visit the areas of the hospital where the training would take place: Department of Medicine for the Elderly and the Haematology Oncology Treatment Rooms. The delegation also visited some other proposed areas but these were considered inappropriate for the purposes of working with a team of Trainees.
Initially, all of the medical and healthcare staff were very supportive and upbeat about the training week at St. James’s, however, in early 2010, as the training week approached, many of them, understandably, became concerned that this may not be feasible, that patients or clients might be upset or distressed by the visiting group, that the musicians may interrupt vital medical work etc. In advance of the training week, Music Network along with representatives from the Irish Trainees met with the key staff members. The purpose of the meeting was to present the process to them, to show some photographic references to the work, to impress upon them our appreciation of the key role of the medical and healthcare staff to the success of this work and to address any concerns or queries that they may have.4 The results of those meetings were extremely positive and all of the medical and staff at St James’s were very welcoming and built up an immediate rapport with the musicians that was invaluable during the training week itself. The inclusion, at this point, of the Jonathan Swift Unit was a welcome addition to the training week.
Sheila Grace’s role in supporting this initiative, brokering and developing the necessary relationships within the hospital and maintaining and constant, present link between the work of the Training Programme and the medical and healthcare staff was the key success to the relationship between Music Network and St. James’s Hospital and both parties have expressed a desire to work together in the future in the event of a similar or greater opportunity.
The staff of St James’s were impressed by the calm, intuitive approach of the French Trainers and quiet efficient manner in which they went about the work on the wards. This approach inspired confidence in the medical and healthcare staff who were always approached before the musicians commenced and were always approached directly afterwards to seek their feedback. This careful, professional approach was appreciated and contributed in no small way to the positive reception of the musicians and the music in the Haematology Oncology Treatment Centre, the Department of Medicine for the Elderly and Jonathan Swift Unit.

Haematology Oncology Treatment Centre

The Haematology unit provides a comprehensive service for haematology patients. The Centre focuses on the diagnosis and treatment of blood diseases, including malignancies, bleeding and thrombotic disorders, anaemias, haemoglobinopathies and haemolytic disorders.
The Oncology Treatment Centre is an outpatient clinic for the administering of cancer treatments including chemotherapy.

The Department of Medicine for the Elderly

The Department of Medicine for the Elderly has admission, rehabilitation and continuing care wards and a day hospital which provides medical and rehabilitation services to patients on a day attendance basis. The department has a busy and comprehensive out patient department with visiting nurses who liaise closely with the community.  MedEl has a very close working relationship with the Department of Old Age Psychiatry. The Memory Clinic is part of the Department of Medicine for the Elderly and Old Age Psychiatry. It complements services of these departments in providing a diagnostic and therapeutic approach to people with cognitive impairment or dementia.

Jonathan Swift Unit

The Jonathan Swift Unit is a psychiatric unit specialising in issues of elderly mental health.
The Trainees appreciated the opportunity to participate in the preparations for the training week at St James’s. They were eager to ensure that the experience their Trainee peers received in Dublin would be of the best possible standard.
Following the conclusion of this Project, Sheila Grace assembled a report of St James’s experiences of the European Music n Healthcare project and I have attached a copy of this report in Appendix C.

Budget & Administration


The budget for the Programme was modest and we feel that the outcomes that it generated presented excellent value. Given that the Irish Trainees included 3 guitarists, the flight costs were often expensive with the need to purchase 7 flights to accommodate the guitars. In the original project plan, Music Network had hoped to dedicate some of the available funds to hosting a seminar day and invite all of the bodies in Ireland currently working in Arts and Health to present and disseminate the findings of this Programme. Unfortunately, the disruption to air traffic due to the ash cloud from the Icelandic volcano meant that the Irish Trainees’ flights to Paris on 17th May were cancelled. At short notice, it was necessary to fly the Trainees to Toulouse and then to travel to Paris by train. The costs involved in this were extraordinary and resulted in a €1,152 budget over run. Given that Music Network is a charity and the organisation’s contribution to this project was in the area of human resources, this over run has left us with a difficulty in terms of sourcing funds to cover it.

Outcomes


The Trainees were each required to produce a short report on their experiences of the European Music in Healthcare Setting Training Programme and they were issued with guidelines in advance to assist them with this task.
All of the Trainees felt that the project had benefited them in a number of ways including the:

  • Opportunity to work in a European context

  • Benefits of reflective and evaluation practices

  • Musicianship: improvisation, repertoire expansion etc

  • Understanding the importance of established professional, mutually respected relationships between medical and healthcare staff and musicians

  • Opportunity to bring live music into wards and areas of healthcare settings that had not previously experienced live music and to experience the reaction of the clients, patients, staff and family members

All of the Trainees identified the need for accreditation of this training and identified how they felt it would assist them with further professional recognition of their work. As a result of this finding, each of the Project Partners have undertaken to follow this up with the appropriate local bodies and institutions for future reference.


In October 2009, Musique et Santé invited Music Network to consider applying with Musique et Santé, the Royal Northern College of Music and the University of Turku, Finland for a Leonardo da Vinci – Lifelong Learning Transfer of Innovation fund of the European Union for a new ‘Train the Trainers’ programme. This new programme would be a natural next step for each of the partner organisations, to train local musicians how to train musicians in music in health. The application was lodged in February 2010 and was successful. This new project is natural next step for Music Network’s support of musicians working in healthcare and expansion of the skills and resources in Ireland for this work.
The benefits to Music Network of the funding provided by the Leonardo da Vinci – Lifelong Learning Partnership Fund of the European Union has impacted the organisation on a number of levels and has allowed the organisation to make a real impact on the career development of musicians in Ireland, the development of music in healthcare in Ireland, providing opportunities for local and national organisation to access the unique skill base of these musicians, impact the lives of people who find themselves catered for by the healthcare services of Ireland as well as allow Music Network the opportunity to partner and exchange with other European peer organisations.

Appendix A














European Music in Healthcare Settings Training Programme
Training Week 3

Dublin 8 – 12 February, 2010

Schedule





Monday 8th Feb

Tuesday 9th Feb

Wednesday 10th Feb

Thursday 11th Feb

Friday 12th Feb

AM

Meeting at St. James’s Hospital between Musique et Santé Trainers: Philippe Bouteloup, Marianne & Christine with Sheila Grace and Nursing Directors of Medel and Oncology Units

10am Oncology Day Ward

10:45am MedEl

11:45am Jonathan Swift




9:00am Marino Conference Centre Room 12
Training Workshop



9:00am Marino Conference Centre Room 12
Training Workshop


9:00am Marino Conference Centre Room 12
Training Workshop

9:00am Marino Conference Centre Room 12

Evaluation & Reflection Session












1:30pm Lunchtime concert at St. James’s







PM

2:00pm

Marino Conference Centre, Room 12

Introduction Session
Music Network Welcome & presentation on work in Music & Health in Ireland
Training Workshop

2:30pm St. James’s Hospital


  • Oncology Day Ward

  • MedEl (Department of Medicine for the Elderly

2:30pm St. James’s Hospital

MedEl


2:30pm St. James’s Hospital


  • Oncology Day Ward

  • MedEl

  • Department of Psychiatry

2:30pm Marino Conference Centre Room 12
Manager Meeting

Appendix B

Recruitment of Trainees: Distribution Schedule




Destinations/Targets

Music Network website

Music Network Industry Newsletter

Contacts from former Performance & Touring Award applicants

Third Level institutions (TCD, UCD, DIT, UCC, CSM, WIT, Newpark, RIAM, UL, Maynooth)

Improvised Music Company

Contemporary Music Centre

First Music Contact

National Chamber Choir

Irish Chamber Orchestra

Irish Baroque Orchestra

National Concert Hall

RTE Performing Arts

Arts Council newsletter

Local Authority Arts Officers

Udaras na Gaeltachta Arts Officers

Making Overtures Attendees 2007

Making Overtures Attendees 2008

CPD attendees 2007

CPD attendees 2008

Reminder notice on Website

Mailing list of interested parties

Living Room Project

Arts Council Ann O'Connor (ann.oconnor@artscouncil.ie)

Evelyn Grant (Cork Access Programme)

University of Limerick - Music Therapy Course (Prof Jane Edwards)

University of Limerick - Community Music MA (Jean Downey)

CREATE (Lynette Moran)

Waterford Healing Arts Trust (Mary Grehan)

Voluntary Arts Ireland Enewsletter

Forum for Music in Ireland

Arts Coordinators in Hospitals

Alternative Entertainments

Artslinks



Appendix C



Report on International Music Project in St. James’s Hospital

Introduction
Early in 2008 Aisling Roche of Music Network approached me with a view to becoming a partner in a four way international training programme for musicians in healthcare settings. This was an exciting opportunity for St. James’s Hospital as it would build on the existing music programme in the Hospital which comprised a series of lunchtime concerts taking place in the main Hospital Concourse as well as community music sessions for patients in MedEl, the geriatric unit.
Education is an intrinsic part of the Hospital arts programme and this year a ten week elective, Arts in Healthcare Education Module, has been rolled out for nursing and art students working together. This followed a three way, three year collaboration between St. James’s Hospital, the Trinity School of Nursing & Midwifery and the National College of Art & Design. It is hoped that this module will ultimately work across all art media. Therefore a training opportunity that has the potential to develop, in the longer term, into a further strand of the education programme is to be welcomed and endorsed.
Preparation
The long lead in time proved invaluable as it is easy to underestimate the length of time it takes to negotiate such a project and to get the appropriate support. Whereas access to Medel would not be an issue, access to the Haematology Oncology Day Care Centre would be about breaking new ground, as no music had previously been played in the clinics or in the wards there. This is a work intensive area that facilitates very busy clinics. In March 2008, the Musique et Sante trainers together with the project managers from the UK, France, Ireland and Poland, visited the proposed sites and met with some of the staff involved.
Whilst being very receptive to the proposal, the staff in Haematology Oncology Day Care Centre were apprehensive about having trainee musicians in the treatment areas and stressed that there were days when the department would be working at full stretch in relatively confined spaces. There was no way of forecasting precisely when these days would arise. Due to this unknown factor, they were of the view that it would be advisable to restrict the musicians to the waiting areas. There were a number of meetings concerning this between Aisling Roche, staff and trainee musicians familiar with the training approach and attending sensitivities of working in an acute hospital. Having examined the potential issues and how they could be addressed with a flexible approach as they arose, it was decided to allow full access to the treatment areas.
At that time also, there was also a very comprehensive meeting with staff in MedEl where the particular issue of performing at patients’ bedsides arose. Previously any music sessions took place in communal areas. There can be a tendency for older people to be the patient cohort that is automatically targeted for arts interventions.

The staff in MedEl were aware of this and were concerned that the project was not something that would simply be imposed on the patients. They were reassured in this by the trainees, who were clearly comfortable addressing these concerns and very aware of the need to connect with individual patients and to be sensitive to their reactions. The decision was taken to introduce the trainee musicians through the communal spaces and then proceed into the wards, assessing the responses of the patients as the sessions progressed. Due to the number of different designated spaces within MedEl it was essential that both the trainers as well as the trainees had the opportunity to meet with all the relevant staff in advance.


A major concern for me, as organizer of the project within the Hospital, was that we would need additional patients and appropriate spaces lined up, if for some reason, there was a need to vacate any of the designated areas. So just in advance of the project starting, I approached the Jonathan Swift Psychiatric Clinic about participating in the event of needing additional resources. However such was the warm reception there to the project, it was decided to expand the programme to include them anyway.
The Project
The trainers had done their homework very thoroughly and started the training week by meeting the staff on the wards and organising the trainees into their allocated groups. They then took the groups to their designated areas in a quiet and efficient manner which immediately put me and the clinical staff at ease. This was important, because from the outset it sent out the message that they were professionals who knew what they were about, therefore if any problems were to arise they would be dealt with competently. It was the subtle assuming of a mantle of authority which was reassuring as they were the only people with direct experience of such an initiative. It helped instil confidence in Hospital staff without being in any way over bearing or demanding.
The subsequent feedback from the patients was most positive and staff in the Haematology Oncology Day Care Centre commented that whilst some would have preferred the music to be quieter, it induced a calming atmosphere in the clinical areas which was very beneficial for everyone. The sessions in MedEl worked equally well and it was particularly moving to see the reaction of some of the bed bound patients and to observe the sensitivity of the musicians in these situations. In the Jonathan Swift Clinic there was an impromptu dance session enjoyed by patients, staff and the musicians. The wonderful cross cultural concert given at lunchtime in the main Hospital Concourse gave staff and visitors to the Hospital insight into how music, being universal, speaks to us all on so many levels.

Conclusions
This project has been a seminal undertaking for St. James’s Hospital as it helped to raise awareness of the value of live music performance and interaction. Such a major professional training initiative highlights the importance of music in healthcare contexts, building credibility and laying the foundations for future development. Accreditation in all areas of arts and health is pivotal to its professional sustainability. In the current times of fiscal rectitude the need for transparency in procurement is ever present.

This is especially so in the health sector. So it is paramount that music in particular, being the most accessible of the arts, builds on it position and status by putting in place an accreditation framework. Based on its experience in the field of education, St. James’s Hospital would welcome the opportunity to collaborate in such a worthwhile endeavour.


Sheila Grace, Arts Director, St. James’s Hospital 22-06-2010

1 Please see Appendix C for schedule of Training Week 3, 8 – 12 February, 2010

2 Unfortunately, it was not possible to accommodate all of the Trainees together in Paris (the training week coincided with a major public holiday and hotel rooms, within the available budget, were difficult to secure), however, we did manage to ensure that they were all within walking distance of each other.

3 See Appendix B for a full distribution list

4 The images used during this meeting were all supplied by Musique et Santé.


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