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In the first two blogs of this Key Change series, we looked at why music is considered a care solution. Undoubtedly, there is still a lot of work to do in educating the public and the care sector with a clear rationale for musical care. The bigger question, though, isn’t why music, it is how music can become integrated into the daily practice of caregivers and caring communities in a way that is meaningful, sustainable, and measurable. Many caring communities struggle to operationalize approaches like music care in a way that’s both intentional and measurable. While the research supports music’s therapeutic benefits, there’s often a disconnect between evidence and practice. The real question is how do we move from theory to everyday application? Room 217’s Integrated Model of Music Care (IMMC) is a proven framework designed to embed music into the daily practices of caregivers and care organizations. This model not only addresses cultural and contextual differences but also optimizes music in any health or social care setting. The IMMC ensures that music is not simply an add-on or an afterthought but an integral part of a care delivery system. By considering the specific needs and operational realities of an organization, this framework encourages implementation of purposeful music and sound based interventions—such as personalized playlists, music therapy, soundscapes, or community performances—tailored to improve the physical, emotional, and social well-being of everyone in the circle of care. The IMMC framework is grounded in four key components, beginning with education. Informed music use begins by training a team at the care site to champion the music care approach. With this knowledge, the team identifies a clear intention for using music to make an impact, such as reducing isolation for residents by introducing music initiatives and interventions. These can include initiatives (like a bell choir or personalized playlist) or interventions (evidence-based practices, such as those provided by a neurologic music therapist.) These initiatives are implemented through measurable programs, care tasks, or therapeutic relationships, with changes tracked through both process and outcome evaluations. Music care integration is achieved when music becomes an essential, recognized component of the care process, with all caregivers using it intentionally to address challenges in the care environment.
Health and social care leaders are tasked with making critical decisions that impact the wellbeing of both care recipients and staff. Since the COVID pandemic, we have all come to appreciate the complex challenges of providing quality care in long-term care (LTC) environments—challenges that often seem insurmountable, despite efforts to allocate resources effectively. A few years ago, I had a conversation with a newly appointed administrator in a long-term care home who asked me, "What’s so special about music?" It was a fair question. She was new to the sector, and with so many competing demands on her time and budget, she was understandably cautious about where to invest. That day, I gave her several compelling reasons why music should be a priority: it’s cost-effective, non-pharmacological, easily accessible, and most importantly, it’s part of the human experience. If I were to meet with that administrator again today, I’d focus on one key issue that’s at the heart of many care challenges: poor quality of life (QoL) for residents in long-term care, and how music care is a solution that can turn this around and quickly. Here’s why music care integration to address QoL is the investment every care leader needs to prioritize: Tangible Person-Centred Care Funding models often prioritize medical solutions over quality of life interventions, leading to institutionalized care recipients being treated as pathologies instead of people. Music, however, is an affordable, non-invasive, and customizable tool that can enrich the QoL for individuals at any stage of life. By purposefully designed music care programming, the focus can be shifted from just managing illness to fostering meaningful, person-centered care that enhances well-being. 2. Staffing and Retention The stress and burnout that care staff face is undeniable. Overworked and under-resourced teams struggle to meet the needs of care recipients, leading to high turnover and poor morale. Music care programs, which include self-care strategies for staff, create a calmer, more peaceful environment that can help reduce stress, improve job satisfaction, and bolster retention. Supporting staff resilience is essential in ensuring quality care for both residents and the workforce. Safety Safety concerns—whether physical, psychological, or environmental—are at the core of every caring community. Music care can enhance safety by reducing falls, especially during high-risk times like shift changes. Music also promotes cooperation and calm during caregiving tasks, helping care recipients feel more at ease. By incorporating mindful sound management into the environment, music helps create a safer, more comfortable space for all. Complex Care Needs Particularly in LTC, care recipients often face complex, multifaceted challenges—loneliness, pain, depression, anxiety, and behavioral issues. Music care offers a non-pharmacological, therapeutic intervention that addresses these needs without relying on medications or emergency room visits. By integrating music care into daily routines, the need for antipsychotics is reduced creating a more holistic approach to care. Operational Framework One of the biggest obstacles to music care integration is the lack of a structured framework. Without clear guidelines, standards, or expectations, music care often remains an afterthought. That’s why an evidence-based model, such as Room 217’s MUSIC CARE CERTIFY program, is critical. It promotes measurable outcomes, establishes the role of professional music care practitioners, and ensures that music care is sustainable and scalable across LTC organizations. Awareness and Advocacy While some care providers are beginning to recognize the benefits of music as a therapeutic modality, widespread public awareness and funding remain limited. Advocacy is needed by supporting music care education and public awareness campaigns. In this way, the evidence of music’s efficacy and especially for QoL, is brought to the forefront, making a compelling case for change that resonates with the LTC community and its decision-makers. Training for Healthcare Practitioners There’s currently no mandatory music care training for health and social care practitioners. While many professionals, including nurses, social workers, and recreation therapists, intuitively use music in their practice, they may not always have the tools or training to do so effectively. Providing music care skills training equips LTC staff with the confidence and knowledge to integrate music strategies responsibly and with purpose and to use it to boost their own self-care. In every meeting I have today with LTC administrators—whether they’re in suits or sweaters—I make it clear that musical care is a viable solution for ensuring good quality of life for everyone. With the right framework, education, and investment, music can be a transformative, scalable solution that impacts everyone in the circle of care.
Bono once said, "Music can change the world because it can change people." Many of us have experienced how music can shift our mood, perspective, or even deepen our sense of connection. For some, it’s a song that lifts them from a low point, for others, it might bring them closer to loved ones. In healthcare settings, music can transform not only the atmosphere but also the quality of care itself. I learned this firsthand when, during my father’s final days, my family used music to support him. We sang together to create a sense of calm, even as his medications dulled his awareness. The music allowed us to communicate and connect in a way that words alone could not. It softened the clinical nature of the hospital environment, making it a space of comfort rather than just medical procedure. Those moments had a profound impact on me, shaping my career and commitment to integrating music in healthcare spaces. For over 20 years, I’ve been dedicated to improving care through music as part of the Room 217 Foundation. We work to empower caregivers - whether paid professionals, family members or volunteers - to use music in a way that enhances the care experience. Initially, we created music tools designed to target specific care outcomes. Over time, we expanded to include training for caregivers, helping them incorporate music into everyday practice. Our latest initiative, MUSIC CARE CERTIFY (MCC), goes a step further. MCC is a comprehensive program that integrates music into the organizational culture of health and social care environments. By embedding music as a core component of care, we ensure it is sustained and becomes part of the organization’s long-term operations. One of the most powerful aspects of MCC is its focus on quality improvement. We don’t just introduce music into care settings—we measure its impact. Change isn’t just hoped for; it’s demonstrated and quantified. One standout example is the Alzheimer Society Peel (ASP), the first Canadian organization to receive MUSIC CARE Certification. This community-based organization, which serves individuals with Alzheimer’s and their families, sought to improve its acoustic environment as part of a broader commitment to enhancing care. Through a series of collaborative sound-based interventions, ASP implemented four key sound goals, evaluated through pre- and post-assessments and staff surveys. The results were compelling: Client engagement in activities increased by 75% Client wandering decreased by 40% Staff stress levels were reduced by 50% The success of this initiative underscores the tangible, measurable benefits that music can bring to care settings—improving both the experience for clients and reducing the burden on staff. In this blog series, we’ll delve deeper into Room 217’s MUSIC CARE CERTIFY as a transformative program for health and social care organizations. We’ll explore how music is not a disruptive force, but a framework for meaningful, sustainable change. With case studies from a variety of care settings across Canada, we’ll showcase how embedding music in care culture improves quality of life for all involved. Imagine a care environment where music is always accessible, integrated, and sustained! This is the future we’re working toward. Music isn’t just an art form; it’s a catalyst for measurable change in health and wellbeing. Care leaders have the power to make that change a reality within their organization. Over the next few months, our Key Change blog series will explore how the transformative power of music can improve the care experience and create lasting impact across Canada’s health and social systems. Want to learn more about MUSIC CARE CERTIFY? Come to our free, online, 45-minute Discovery session on Wednesday February 26 – 2 pm EDT. Contact Tanya for more information talbis@room217.ca
Social prescribing (SP) is a practice I became familiar with at our 2019 Power of Music Conference in Nottingham, England. At the time, the National Academy of Social Prescribing (NASP) had just been formed. The NASP defines SP as connecting people to activities, groups and support that improve their health and wellbeing. SP links people to non-medical supports in their community to address issues such as loneliness, debt or stress due to financial pressures or poor housing. Since then, the NASP story has been impressive including 12% reductions in GP appointments, 15-20% reduction in secondary care costs, measurable improvements in wellbeing, physical and mental health, and an ROI of £3.50 for £1 invested. A key achievement has been to set up a healthcare integration program to support health and care providers and partnerships to embed social prescribing. So it was with keen interest my colleagues and I attended Canada’s first Social Prescribing Conference held in Toronto at the end of September 2024. Convened by the Canadian Institute for Social Prescribing (CISP), a national collaboration hub anchored by the Canadian Red Cross, several hundred early adopters and curious folks like us gathered. The energy and excitement was palpable. Dr. Kate Mulligan , the Scientific Director and champion of social prescribing in Canada set the stage, proposing SP as the pathway from health treatment to wellness creation. The CISP encourages models that connect people with healthcare, social services and community supports to enhance health and wellbeing. The goal of CISP is to bring together a diverse network of health practitioners, researchers, academics, system leaders, funders and others to share learnings, mobilize knowledge, build evidence and influence policy. The opening speaker, Elder Dr. Albert Marshall from the Mi’kmaw First Nation in Nova Scotia set the stage by sharing knowledge and wisdom of his people, including ‘two-eyed seeing’ - seeing the best of traditional Indigenous ways and the best of current western medicine. Applied to SP, we understand that the clinical medium saves lives and the social medium makes life worth living. A variety of panels, workshops and posters provided content for the conference. Notably, SP leaders from Singapore, Brazil, United States, England, and Australia shared where they are at with social prescription. Clearly, this global movement, supported by the World Health Organization, is underway. The WHO has developed a Social Prescribing Toolkit which outlines steps required to introduce SP and includes sample materials which can be adapted to the local context. In the final plenary session, we considered the future of healthcare in Canada. While there are no pat and easy answers, SP is seen as a response to ‘sick care’ through upstream preventative programming. It requires a shift, from a medical model where power is held and directed and the status quo is maintained to a social model where power is shared and everyone sees themselves in it. As Jodeme Goldhar, co-founder of the Foundation for Integrated Care Canada stated, ‘SP requires a shift from egocentric to ecocentric thinking.’ A key takeaway for me is that SP requires a new way of seeing, a new collective mindset. SP is all about working together in community, leveraging new ways of being and doing, working in partnership. The endgame may be a road to recovery for the Canadian healthcare system, were we live in less isolated and more connected communities optimizing health and wellbeing for all. If you want to learn more about SP in Canada, then subscribe to the CISP newsletter for ongoing updates, resources, and opportunities.
As Room 217 broadens its reach to include training educators in both elementary and secondary schools, our mission has expanded to help address social and emotional learning (SEL) outcomes through the power of music. SEL plays a crucial role in shaping resilient, purpose-driven, and socially successful students, and music is an ideal medium to support this essential area of human development. Social and emotional learning encompasses a set of skills and competencies that allow children to develop healthy and supportive relationships by fostering positive self-perception, empathy for peers, effective collaboration, and a strong sense of identity. Through SEL, children learn to identify and manage their emotions in healthy ways, build personal resilience, and develop coping strategies. Additionally, SEL aims to amplify students voice, advance equity, and strengthen partnerships between teachers, students and their families. RESEARCH suggests that SEL is integral not only to academic success but also to personal well-being, mental health, and overall life satisfaction. Educators have long recognized that music serves as a powerful conduit for students to identify, express, and connect with their emotions. A wide range of programs and platforms now exists to help teachers integrate music with mindfulness activities and breathing practices, creating a calm and focused learning environment. For example, Save The Music Foundation, in partnership with the Center for Arts Education and Social Emotional Learning, offers a professional learning program specifically designed to intersect music with SEL Student Empowerment Through SEL in Music Education (savethemusic.org) . —empowering students through music education. Programs like these equip teachers with the resources to help students build agency and self-efficacy by centering students' lived experiences, voices, and cultural narratives. Engaging with music—whether through creation, performance, or listening—allows students to connect with the art form in meaningful ways, fostering skills that extend beyond the music classroom. Music helps children and youth draw connections between their own lives and the shared threads of the human experience. Participation in music-making, whether in a group performance or a solo endeavor, can build self-confidence and develop the collaborative skills necessary to achieve common goals. Additionally, listening to lyrics, whether from contemporary songs or music of the past, can help students feel less isolated as they navigate the complexities of growing up, understanding relationships, and coping with change, crisis, heartbreak, and loss. Teachers who intentionally integrate music into their educational settings can effectively embed and sustain SEL practices within their classrooms. Having been a music teacher myself, I was always aware of the dual role music played in my students' lives. The curriculum I followed was designed to be purposeful, challenging, and exciting, offering a refreshing departure from the rest of their school day. But beyond that, it provided opportunities for students to develop self-awareness, self-management, social awareness, relationship skills, and responsible decision-making. Music demands goal-setting and perseverance, yet it also brings joy. I cherished the moments when my students lost their self-consciousness, whether playing drums in a group, singing together, or conquering a challenging task I had set for them. These experiences often fostered a sense of belonging, mutual respect, and healthy collaboration, where every student felt a sense of agency. The skills developed in the music classroom are highly transferable to life beyond school. Over my 25 years in education, I have observed a decline in discipline and determination among students. I recall one student who initially wanted to quit learning the ukulele because the strings hurt her fingers. When I encouraged her to persevere, explaining that the discomfort would pass as her fingers grew stronger, she stormed out of the classroom. However, as the weeks went by, my students began to wear their hardening fingertips as badges of honor, a sign that they had been practicing at home and were willing to endure minor discomforts for the sake of progress. Eventually, the discouraged student came around, mastering a beautiful song that we performed together for the school community. The pride she felt in overcoming adversity was evident, and this experience served as a powerful lesson in resilience. In today’s culture of quick fixes and immediate gratification, opportunities for developing self-discipline are becoming scarce. The ukulele became more than just an instrument for my students; it was a source of comfort, a medium for expressing their experiences, and a symbol of personal achievement. It represented a feather in their cap of strengths and abilities, a tangible reminder of their capacity to overcome challenges. Music offers educators a valuable tool for fostering SEL in their students, but beyond that, it is one of the most deeply rewarding and purely enjoyable ways to experience what it means to be human. Music connects us to others in profoundly human ways and equips us with the skills needed to thrive in today’s world. As students and teachers step into a new school year, may music fill their hearts, lives, and minds with the potential to bring out the best in themselves, their well-being, and their relationships with others.
Room 217 is pleased to partner with McMaster University Health Sciences to provide a research practicum for students each year in music and care. This blog was written by one of those students. In the midst of the COVID-19 pandemic, I recall dropping off my brother for his first day of kindergarten, feeling a mix of uncertainty and hope. The last thing on my mind was the challenges he would face in making friends in this new environment. For what felt like years, he came home with a barely touched lunch and a growing reluctance to return to school each morning. However, a turning point occurred in second-grade, when he excitedly came home clutching a recorder in his hand. With confidence, he played his favourite tunes learned from music class. His passion and hard work caught the attention of his teacher, earning him the role of a valued “helper” in the after-school recorder club. This experience became a catalyst for his personal and social development. Through music, he created meaningful connections with a diverse group of students. These friendships extended beyond the music room to shared lunch times and playdates. Seeing this growth, I came to realize the remarkable power of music in breaking down social barriers and nurturing genuine bonds among children. This anecdote echoes the importance of music education in school curriculums, aligning with findings from the literature. In Mansfield, Ohio, a teacher shares her journey of bringing music into her school curriculum to strengthen social bonds among students and the community. Starting from scratch, she set up the school’s music department with help from community donations and grants. What made her approach stand out was her focus on what her students loved musically, incorporating songs like “This is Me” from the movie The Greatest Showman and “Thunder” by Imagine Dragons. This not only made learning more fun but also fostered inclusivity, encouraging students to share their own music compositions with each other. This led to the creation of “ Mallet Madness ,” a school-wide event that brought the community together through music. The event was special because they replaced ticket sales with a food drive for local pantries. Through this process, students learned about engaging with each other and supporting their community through music, gaining lifelong skills applicable to broader contexts in their experiences. This is just one of the many ways music education supports social connections among children. Research in this realm suggests other effective methods. In general, children benefit from all types of classroom music programs , including improvisation, performance, and exposure as background music, leading to positive outcomes such as improved emotional expression, increased empathy and reduced aggressiveness. These traits are essential for developing effective communication and conflict resolution skills, crucial to building healthy and lasting social relationships. In third and fourth-grade classrooms, researchers found that exposure to 10 months of group music lessons , which included learning to play the ukulele and singing with peers, led to a greater ability to understand and express concern for others’ well-being, and improved overall prosocial skills. I shared a similar experience during my time working with the Fountain of Uke program in Hamilton, which incorporates similar aspects of using the ukulele in classroom music lessons. I taught elementary school children how to play and sing along to “If you are happy and you know it” on the ukulele. Together, we performed for older adults in the community, sparking intergenerational conversations through music. I learned that music transcends time, language, and culture, allowing for the initiation and strengthening of all social bonds. While I’m not actively in touch with this group anymore, whenever I replay the playlist of the songs we shared, it brings back memories of our time together. Furthermore, this experience inspired me to encourage my brother to teach our parents how to play the recorder, resulting in greater trust and closer bonds between them. While many attempts to incorporate music into early education can yield positive outcomes, some strategies prove more effective than others . For instance, children taught by a specialist teacher using an interactive method , where the teacher played the songs live, showed more positive social changes compared to those taught by a non-specialist teacher who passively played recordings of songs. Thus, the way we choose to use, teach, or interact with music affects the results we see in children. One thing to keep in mind is that current research focuses on assessing specific outcomes related to music programs, often overlooking broader community impacts. Still, developing these social and emotional skills are essential to building strong and enduring connections within our communities. Reflecting on my experiences, I am optimistic about the opportunities music offers in early education. My journey, like many others’, highlights the positive impacts of music on personal growth and social connection from a young age. As a university student, I continue to connect with my peers through our shared interests in music, whether it is through listening, playing, or attending concerts. Embracing music in early education sets the stage for an interconnected future for children and communities alike.
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