A growing concern among both recreational and clinical staff in long-term care (LTC) is the health and wellness of men in care. Health professionals have long recognized that men, both in and out of care, tend to experience lower overall health profiles compared to women. RESEARCH widely acknowledges that sex and gender intersect with factors like race, ethnicity, socioeconomic status, disability, and age to shape individual health outcomes. Notably, men face unique challenges when it comes to health and wellness. Globally, men are outlived by women in all settings, a phenomenon known as the male– –female health-survival paradox The Male-Female Health-Mortality Paradox | SpringerLink . This disparity highlights the need for gender-specific approaches to healthcare, as men’s health is increasingly recognized as a public health concern. Researchers and policymakers are working to understand the roots of these inequalities, with many pointing to social norms and behaviors formed in adolescence. We are familiar with stereotypes about men engaging in higher-risk activities, from motorcycle riding to nicotine addiction. However, one of the most significant factors affecting men’s health and longevity is their tendency to have fewer and less robust social connections compared to women. Women generally participate in social forums where they express emotions more freely, while men, historically, have been less likely to depend on social groups or engage in regular emotional expression. This can lead to isolation, which negatively impacts both mental and physical health. One promising approach to addressing social isolation among men is through men’s musicking. Music has always provided a way for men to come together—whether through singing, playing instruments, or participating in music listening groups. From male choirs like the Maesteg Choir in Scotland, to garage bands playing for the sheer joy of it, music offers a safe, non-threatening environment for men to gather, share memories, and express emotions, even if only subtly. Our September webinar presenter and partner, Gertrude Letourneau, shared a powerful story from her work in a long-term care home. One resident, a veteran, asked for permission to sing in his home language, which happened to be German. Being deeply sensitive to the other veterans he lived with, he began to sing which prompted an incredible emotional release of grief, tears, regret, reflection and sorrow.  Menno Place, a recent graduate of our CERTIFY for ORGANIZATION program, discovered through their own research that hosting a vinyl record listening hour provided a powerful way to engage self-isolating men. This nostalgic activity brought men out of their rooms and into a safe, non-judgmental space where they could share memories, relive the joy of past entertainers, and reflect on times gone by. The program bridged generational gaps, allowing them to swap stories with the younger caregivers. Linda Weatherly, Manager of Therapeutic Recreation and Volunteer Services at Menno Place in Abbotsford, British Columbia, recalled that some conversations became quite lively, even veering into “racy” territory at times. However, this openness was precisely what was needed—creating a space where the men felt comfortable being themselves and expressing what they needed to. The program, known as Men’s Musicking, became much more than a listening hour. It was a catalyst for cognitive stimulation, sparking memories and conversations that promoted social interaction and emotional expression. The long-term effects of this initiative remain to be seen, but for now, we can applaud the creative and innovative leadership of people like Linda, who are using music to address some of the most pressing concerns in healthcare today.

Did you know singing can improve voice quality? As we age, it can become more effortful to execute the act of speaking. Older adults experience something called presbylaryngis , which is the hardening of the vocal folds. Singing can help older adults maintain important elements of vocal control, as well as create meaningful opportunities for interaction. Here are five reasons why you should sing with older adults. 1. Singing can increase breath support As we age, our abdominal muscles become weakened due to lack of use which contributes to difficulties coordinating the act of speaking. By triggering our reflexive breathing response, we can address decreased breath support. For example, when you breathe out, you must breathe in. It can also be helpful to make lyric sheets that indicate where to breathe! The next time you’re singing, try adding a reflexive breath and see if you feel a difference. 2. Singing can increase vocal volume One common symptom of presbylaryngis is decreased volume, especially towards the ends of phrases. By singing with older adults and crescendoing (getting louder) through a phrase, you can target decreased volume. It can be helpful to make lyric sheets that show the lyrics getting larger to indicate to sing louder. You can also add hand movements, like a pulling motion, to help with singing louder. The next time you’re singing, experiment with this and see if you can hear a difference! 3. Singing can increase range Another common symptom of presbylaryngis is a higher pitched voice. The smaller our range, the less expressive we can be with our speaking voices. This is called inflection. Inflection is when we change the tone or pitch of our voice when we are speaking in order to convey a more precise meaning for our words or provide insight about how we are feeling. It can be helpful to sing familiar songs in different keys. You might find that some keys feel more comfortable to sing depending on the range of your voice. 4. Singing can reduce speaking effort Symptoms of presbylaryngis and weakened abdominal muscles can result in effortful speaking and vocal fatigue. Through singing tasks that focus on the different elements of vocal control, we can counterbalance the vocal load. With speaking, the use it or lose it principle applies. The more we engage in the task, the easier it will be to do. By singing regularly we can support healthy speaking and singing voices, and communicate more easily with friends and family. 5. Singing improves emotional wellbeing Group singing can reduce feelings of isolation and loneliness, as well as provide opportunities for meaningful connection by reminiscing about the positive memories that make us feel better. Singing with others can also make us feel more confident in our speaking and singing voices. Sometimes, all we need to do is sing.

When the Participatory Creative Music Hub put out an Open Call for projects with a focus on Health, we never guessed that so many of the projects would center around creative expression through the voice! From singing and song-writing to DJ-ing, poetry and rap, the projects demonstrate the incredible range of ways in which the voice can be used to support participants’ health and well-being. For example, Haida Elder Jiixa (Gladys Vandal) and settler Julia Weder team up in Preserving Language Through Music & Film to share language and creativity through rap music videos. As Julia writes, this project “was intended to support Jiixa in her own language-sharing and creative visions, as she is hugely motivated to share the language now that she is diagnosed with ALS and has limited mobility”. Watch and listen to the music video ‘X̲anjuudal Travelling to Vancouver’ in which we not only see and hear the transmission of language, but also the connection and ready laughter shared by Jiixa and Julia. In another use of voice, Laura Gillis’ Vintage Voices features members of a long-term care centre who DJ a radio show based on the Participatory Creative Music Hub put out an Open Call for projects with a focus on Health, we never guessed that so many of the projects would center around creative expression through the voice! From singing and song-writing to DJ-ing, poetry and rap, the projects demonstrate the incredible range of ways in which the voice can be used to support participants’ health and well-being. For example, Haida Elder Jiixa (Gladys Vandal) and settler Julia Weder team up in Preserving Language Through Music & Film to share language and creativity through rap music videos. As Julia writes, this project “was intended to support Jiixa in her own language-sharing and creative visions, as she is hugely motivated to share the language now that she is diagnosed with ALS and has limited mobility”. Watch and listen to the music video ‘X̲anjuudal Travelling to Vancouver’ in which we not only see and hear the transmission of language, but also the connection and ready laughter shared by Jiixa and Julia. In another use of voice, Laura Gillis’ Vinta the music of their choice. The purpose of the project is to provide a DJ with a platform to share the music they love and their thoughts on this music, and as Laura writes, “bring these voices to the rest of society via short radio clips’. Laura writes, “In my work in Long Term Care, I witness the negative effects of our society’s ageism and ableism: Individuals living in Long Term Care, families, and healthcare providers often struggle to have a voice, to be noticed, valued, and to receive the support and recognition that is needed. The tone of Vintage Voices is light and fun, however it serves to amplify seldom-heard voices and to put a face (or rather a voice!) to individuals living in these settings, allowing them to show the value of life at every stage.” Go to Vintage Voices to listen to three DJs’ radio clips. Using a poem written by a participant, Naila Kuhlmann’s Piece of Mind: Understanding And Comunicating Parkinson’s Disease Through Music And Poetry , features a collaboration with poet Lili Saint-Laurent, a woman living with Parkinson’s Disease (PD), and musician Caroline Barbier de Ruelle. Lili’s poem Sur le fil (On a wire) is an expression of her day-to-day experience of PD, and served as the starting point for a creative process between Lili and Caroline. See this video for a description of the process used, the thoughts of the participants, excerpts of the creative process and the resulting circus piece that features Lili speaking her poem. For those participants who express themselves readily through non-language based vocal expression, Geremia Lodi’s Silent Rhythms features participants who create silent ‘movement phrases’ that are then interpreted vocally. See this video tutorial for a demonstration of the process used to create both movement and it’s interpretation in sound. Multiple projects focused on collaborative songwriting. For read more about the processes used, and listen to the music, see: Sound & Song: Collaborative Songwriting With Seniors & Elders Music Takes You Higher: Collaborative Song-Writing With People Living With Dementia Let’s Re-Imagine: Challenging The Stigma Of Dementia Through Collaborative Song-Writing There clearly many ways of supporting health and well-being through the voice. If you have more to share, consider submitting to the PCM Hub! See HERE to create and account and submit, and reach out to Louise Campbell at mlouisecampbell@gmail.com for more information.

The impact of COVID in care settings, specifically Long-Term Care, has been monumental with social programming being set aside for safety protocols and PPE. Although the movement to a more medical model of care makes sense from a safety lens, we are now realizing the devastating effect this has had on residents as they express helplessness, loneliness, isolation, and boredom. In December 2021, Patient Ombudsman, Craig Thompson, was interviewed about the recent report entitled “Honouring Voices and Experiences, Long-Term Care Home Survey” where he suggests hiring more Recreation Therapists to offset the impact of restrictions. Elaine, an 85-year-old woman with dementia was quoted as saying ‘I just wish someone would dance with me.’ She acknowledges that her physical needs were taken care of as she was clothed and fed, but her greatest desire was for someone to stop and dance with her. The music care approach has been taught for over 16 years by Room 217. Our Level 2 Music Care Training talks about the 5 human domains being spiritual, cognitive, emotional, physical, and biological and how music works to meet needs in all areas. Recreation Therapists are trained to understand mental, physical, psychological, social, and spiritual domains of residents and develop programs providing care based on the needs of residents. When music is used by Recreation Therapists, the outcome is better quality of life for all, staff included. Our upcoming Masterclass is open to anyone with Level 2 or 3 Music Care Training, and all LEARN and CERTIFY members. On August 18th, we will be hosting a Dance Therapist and Teacher, Katherine Mandolidis of Ballet Edmonton who will walk us through a series of music and movement that can be added as an everyday wellness routine or break. Join us for music, movement and conversation and let’s bring some light back into the lives of those that need the music most. In the meantime, let’s all seek inspiration from the viral video of Marta Cinta Gonzalez, a former ballet dancer living with Alzheimer’s, come to life when she hears the music of Swan Lake. Watch video Link to report noted in blog: https://www.trontario.org/files/Advocacy/TRO-LTC-Commission-Submission-Nov-2020.pdf

This article was written by Julia Cara, and is part of a series provided by upper year Health Sciences students at McMaster University.

One of Room 217 ’s four pillars is education and training . Through the years, the Foundation has facilitated sharing information about using music in care in a number of ways; the annual Music Care Conference ; our Music Care Training ; Music Care Webinars ; and now through the Virtual Learning Studio . We know that people have different learning styles, interests, budgets and time restraints. One thing we hear frequently as we meet with stakeholder groups across the country is that attending training from a rural or remote area is a big problem when it comes to accessing continuing education and that’s part of the reason we launched the Virtual Learning Studio. We wanted to make learning accessible to everyone.

This is the third in a series of articles that examine the impact Music Care Training has in care settings and contexts. Watch for monthly stories from Level 3 graduates. This week’s blog post is written by Alison Dale, who works as a director/musician/writer. She operates Soul Fire Express: Music Care and Communication in Stratford, ON.

We know people are busy, and there are limited dollars for professional development. That’s why Room 217 hold a one-day only conference and packs it with content to educate, stories to inspire, and music to entertain.

The focus of this year’s Music Care Conference is Music Across the Lifespan , with an array of presenters who will address the value of music from infancy to older adulthood, and everything in between. Room 217 ’s Education and Research Manager, Chelsea Mackinnon , has put together a full day of programming that will educate and inspire professional healthcare providers, family caregivers and others on not only the importance of music to people in various stages of life, but also how to bring music into caregiving settings.