Music Therapy with Children Whose Mothers Are in Residential Treatment for Substance Use Disorders: A Program Evaluation

Abstract

Children who experience multiple stressors may benefit from music therapy programming that addresses the development of social skills, self-expression, and coping mechanisms. Emerging evidence supports the use of improvisation techniques, group songwriting, and drumming activities to support self-regulation and increase social competence. In this article, we aimed to describe the inception and evaluate the implementation of a music therapy program for children at a residential treatment facility for women with substance use disorders (SUDs) at Dove’s Nest, a residential facility for women with SUDs. In this facility, children can reside with their mothers during the length of treatment. We collected pre/post data from children ages 5–11 (N = 20) who attended 8 nonconsecutive music therapy sessions by asking the mothers to complete the Home and Community Social Behavior Scale (HCSBS; Merrell, K. W., & Caldarella, P. (2008). Home & Community Social Behavior Scales user’s guide. Paul H. Brookes Publishing Company). Statistical analyses showed no significant changes on individual HCSBS subscale pre–post comparisons. The total number of scale items on HCSBS flagged as areas of concern was reduced both in social competence (31 pre to 6 post or a decrease of 80.65%) and antisocial behavior (34 pre to 17 post or a decrease of 50%) scales. Evaluation results indicated that even though the children assessed may score within average ranges for social competence and antisocial behaviors, they still exhibit a high number of areas of concern at baseline, particularly in the defiant/disruptive category, which warrants preventive interventions. Clinicians may need to focus on interventions that promote social integration, self-regulation, and assertiveness while addressing behaviors such as blaming and attention seeking.