Music Therapy InternText Box: ...adding years to life and life to years...

8800 Hwy 61 Lancaster, WI 53813     Phone (608)723-2113     Fax (608)723-2210

Text Box: For more information about Music Therapy 
at Orchard Manor contact: 
Nikki Durni MT-BC, Hospice & Palliative Care, Music Therapist
(608) 723-2113 Ext 137
e-mail:  ndurni@co.grant.wi.gov 

Philosophy of the Music Therapy Program
The music therapy department of Orchard Manor is dedicated to a holistic approach in meeting the psychosocial, emotional, cognitive, physiological, sensorimotor, and spiritual needs of our clients in the context of a therapeutic relationship, using music to facilitate each individual's well-being. 
	In the Intermediate Care Facility for the Intellectually Disabled, music therapy is utilized in the context of a behavioral model to affect normalization and creative expression.  The Skilled Nursing Facility operates within a medical model and music therapy is used to facilitate healing by addressing cognitive, psychosocial, communication, and physiological functions while promoting interpersonal, emotional, and spiritual expression. 
	Clinical techniques utilized include: song writing, song lyric analysis, instrument manipulation, group singing, music and movement, music reminiscence, iso-moodic principle, music-facilitated relaxation, improvisation, song lyric completion, and life reviews through music.
	Orchard Manor's motto is "Adding Years to Life and Life to Years" and the music therapy department adheres to this motto by promoting independence for each individual within a musical environment so that this independence may transfer to daily living for each person.  The purpose of music therapy lies not in the music application, but in the specific therapeutic need for each individual.  Music must be used in a purposeful manner in order to meet a need or bring about a desired outcome for each individual.
	Orchard Manor has been a Clinical Training Site for Music Therapy since July 1999.  Music Therapy has been a part of Orchard Manor's overall care for over twenty years.  The program has grown steadily and was one of three facilities in the country to receive a grant for instruments in 1997 from the Mr. Holland's Opus Foundation.  Music Therapy is used to facilitate healing by addressing the holistic health dimensions of an individual using music as a tool to promote interpersonal, emotional, and spiritual expression and growth.
Nikki Durni, MT-BC, HPMT,  is the Internship Director full-time Music Therapist on staff.  She received her Bachelors degree in Music Therapy from UW-Oshkosh.  She has extensive experience working with persons with special needs and has additional training in neurologic music therapy.
6-month, full-time internship – beginning January and June each year
Population:  Geriatric and Developmentally Disabled Adults; Hospital contract with Cardiac Rehab group
Stipend:  No stipend available.  Lunch is provided by Orchard Manor  Monday – Friday
Caseload for interns divided between geriatric and ID populations – four 1:1’s and ten groups weekly; adequate time for session planning and practicing provided.  Assessments, data collection, progress notes, evaluation of treatment, and discharge notes.
Three special projects:  an in-depth case study on a 1:1 client, an oral presentation, and a special project of the interns choice/interest.
1st month orientation period; 2nd month gradual progress toward leading groups/1:1’s; 3rd month begin responsibility for assigned case load; 4th month begin documentation of caseload.
Professional development time each week gives interns the opportunity to experience different music therapy techniques, practice music skills, and learn music therapy interventions.
Formal mid-term and final observations by music therapy staff give interns important feedback for skill development; informal observations throughout the internship offer opportunities to discuss and evaluate sessions.
Flexibility within internship structure to provide additional learning opportunities based on skill deficits identified in internship agreement and/or special interest of the intern within the training and skill set of the music therapist on staff.  Additional resources may be supplemented, i.e. visit to another setting, correspondence with professionals in the area of interest, journal articles and/or books available, etc.

  Students must demonstrate strength with at least two accompanying instruments (piano, 
guitar, omnichord, autoharp, etc.) with the expectation to strengthen skills during internship.
Students must demonstrate the ability to sing in tune and with accuracy.
Students should have knowledge of general repertoire (such as folk songs, etc.) with the expectation to learn a wider repertoire of varied musical styles during internship.
Students must have the ability to articulate themselves effectively, in addition to articulating their strengths, needs, etc.
Students must demonstrate a professional demeanor through a professional appearance, appropriate interaction  with other professional staff, residents, and family members.
Students should be able to articulate what music therapy is and how it is used with various populations
Students must demonstrate an ability to accept constructive criticism/feedback.
Students must have some time-management skills with the expectation to improve these skills during internship (e.g. documentation, deadlines, session length, preparation time for sessions, etc.).
The student's resume should contain accurate information and have strong references

Students must demonstrate an ability to prepare and initiate appropriate music therapy applications with a variety of populations with the intention of improving these skills during internship.